ANDREA NICKELS (NPI# 1821646787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821646787 |
| Entity Type | Individual |
| Full Name | ANDREA NICKELS |
| Credential | RBT |
| Practice Address |
600 Liberty Ln Edmond OK 73034-9432 |
| Practice Telephone | 4055481029 |
| Practice Fax Number | 8175493172 |
| Mailing Telephone | 4055481029 |
| Mailing Fax Number | 8175493172 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-95997 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568070134 | Andrea Nickels | Speech-Language Pathologist | 746 Yorkshire Rd Ne, Atlanta, GA 30306-3247 | 2020-07-20 |
| Street Address |
600 LIBERTY LN |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-9432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194114009 | Anna Cassidy Brown | Behavioral Analyst | 600 Liberty Ln, Edmond, OK 73034 | 2015-01-15 |
| 1215538418 | Madison Sturgis | Behavior Technician | 600 Liberty Ln, Edmond, OK 73034-9432 | 2020-11-04 |
| 1679171425 | Megan Mayfield | Behavioral Analyst | 600 Liberty Ln, Edmond, OK 73034-9432 | 2020-10-14 |
| 1912504465 | Amber Willett | Behavior Technician | 600 Liberty Ln, Edmond, OK 73034-9432 | 2020-10-07 |
| 1851908545 | Miranda Wentworth | Behavior Technician | 600 Liberty Ln, Edmond, OK 73034-9432 | 2020-09-26 |
| 1871108282 | Sakeenah Majeed | Behavior Technician | 600 Liberty Ln, Edmond, OK 73034-9432 | 2020-09-11 |
| 1033722632 | Sadie E Schiffmacher | Behavior Technician | 600 Liberty Ln, Edmond, OK 73034-9432 | 2020-08-25 |
| 1053937953 | Julia Gaitan | Behavior Technician | 600 Liberty Ln, Edmond, OK 73034-9432 | 2020-06-17 |
| 1740828409 | Kassandra Lynn Cain | Behavior Technician | 600 Liberty Ln, Edmond, OK 73034-9432 | 2019-12-12 |
| 1295386985 | Kelsey Startzman | Behavior Technician | 600 Liberty Ln, Edmond, OK 73034-9432 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295361996 | Bridget Rae Twedt | Behavior Technician | 1730 E 2nd St Apt 213, Edmond, OK 73034-6304 | 2020-03-14 |
| 1417508029 | Devon E Williams | Behavior Technician | 2409 Nw 163rd St, Edmond, OK 73013-1264 | 2019-09-25 |
| 1518523745 | Aba Coop | Behavior Technician | 409 S Fretz Ave Ste D, Edmond, OK 73003-5570 | 2019-05-13 |
| 1750873394 | Erin Healey | Behavior Technician | 425 S Fretz Ave Ste B, Edmond, OK 73003-5568 | 2018-05-30 |
| 1215538418 | Madison Sturgis | Behavior Technician | 600 Liberty Ln, Edmond, OK 73034-9432 | 2020-11-04 |
| 1871193383 | Christine Malina Stephenson | Behavior Technician | 16538 N May Ave, Edmond, OK 73012-9007 | 2020-10-26 |
| 1568061943 | Justin Stewart | Behavior Technician | 3517 Nw 164th Ter, Edmond, OK 73013-9471 | 2020-10-18 |
| 1003415480 | Zach Teague | Behavior Technician | 3517 Nw 164th Ter, Edmond, OK 73013-9471 | 2020-10-18 |
| 1558960930 | Aidan Lozano | Behavior Technician | 3517 Nw 164th Ter, Edmond, OK 73013-9471 | 2020-10-18 |
| 1912504465 | Amber Willett | Behavior Technician | 600 Liberty Ln, Edmond, OK 73034-9432 | 2020-10-07 |
| Find all providers in EDMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.