NICOLE ALISON HICKMOTT (NPI# 1861950347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861950347 |
| Entity Type | Individual |
| Full Name | NICOLE ALISON HICKMOTT |
| Practice Address |
1335 N Dutton Ave Santa Rosa CA 95401-4609 |
| Mailing Address |
16782 Von Karman Ave Ste 11 Irvine CA 92606-2417 |
| Practice Telephone | 7078882927 |
| Mailing Telephone | 9498332237 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1335 N DUTTON AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871775494 | Stephen Wise | Counselor | 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 | 2007-12-05 |
| 1356983035 | John Hughes | Behavior Technician | 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 | 2019-10-14 |
| 1932662277 | Antonia Allawatt | Behavior Technician | 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 | 2019-04-12 |
| 1467915603 | Valerie Lopez | Behavior Technician | 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 | 2019-04-12 |
| 1578026811 | Karen Teresa Lorena Castellanos | Behavior Technician | 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 | 2019-04-12 |
| 1669935805 | Catherine Louise Gillespy | Behavior Technician | 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 | 2019-04-12 |
| 1992268130 | Mckinly Rose Yeager | Behavior Technician | 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 | 2019-04-12 |
| 1568924934 | Sarah Calvez | Behavior Technician | 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 | 2019-04-03 |
| 1225590698 | Madeline Paige Haedt | Behavior Technician | 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 | 2019-04-03 |
| 1003378480 | Helen Bekeret Haile | Behavior Technician | 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 | 2019-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| 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 |
|---|---|---|---|---|
| 1396364311 | Smrity Singh Burritt | Behavior Technician | 2133 Fairfax Pl, Santa Rosa, CA 95404-8033 | 2020-04-09 |
| 1194350611 | Hannah Teal | Behavior Technician | 5040 Charmian Dr, Santa Rosa, CA 95409-3538 | 2020-03-04 |
| 1932732971 | Mercedes Chanel Johnson | Behavior Technician | 3 San Luis Pl, Santa Rosa, CA 95409-2806 | 2020-02-18 |
| 1639702160 | Leah Gulley | Behavior Technician | 1929 Contra Costa Ave, Santa Rosa, CA 95405-8104 | 2020-02-12 |
| 1326670704 | Jackeline Howard | Behavior Technician | 560 Dexter St Apt F, Santa Rosa, CA 95404-2403 | 2020-02-04 |
| 1255979670 | Anahy Tinoco Lopez | Behavior Technician | 170 Eddy Dr, Santa Rosa, CA 95407-7852 | 2019-12-16 |
| 1588206528 | Erika K Chavez | Behavior Technician | 526 Kirkwood Ct, Santa Rosa, CA 95407-7074 | 2019-10-10 |
| 1780247999 | Amanda Kay Bourke | Behavior Technician | 703 2nd St Ste 106, Santa Rosa, CA 95404-6505 | 2019-04-15 |
| 1205309473 | Jay Vien Marquez | Behavior Technician | 1335 N Dutton Ave Ste 11, Santa Rosa, CA 95401-4609 | 2019-01-09 |
| 1215400932 | Philip Drasny | Behavior Technician | 4818 School St, Santa Rosa, CA 95409-3535 | 2019-01-04 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
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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.