NICOLE ILENE NUMKENA (NPI# 1932568854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932568854 |
| Entity Type | Individual |
| Full Name | NICOLE ILENE NUMKENA |
| Practice Address |
852 E Three Fountains Dr Unit 203 Murray UT 84107-5278 |
| Practice Telephone | 8016499011 |
| Mailing Telephone | 8016499011 |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 12623886 | 05 |
| Street Address |
852 E THREE FOUNTAINS DR UNIT 203 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003453275 | Blue Autism Center | Behavioral Analyst | 1233 W Brister Dr, Murray, UT 84123-7927 | 2019-12-05 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1528264645 | Autumn Nicole Estes | Behavioral Analyst | 634 N 12th St, Murray, KY 42071-1651 | 2007-06-25 |
| 1023652443 | Rebecca Stewart | Behavioral Analyst | 634 N 12th St, Murray, KY 42071-1651 | 2019-10-29 |
| 1306404918 | Nichelle Ann Stephens | Behavioral Analyst | 5984 S Susquehanna, Murray, UT 84123-5527 | 2019-05-30 |
| 1235650219 | Anna Rose Jeppson | Behavioral Analyst | 4444 S 700 E Ste 203, Murray, UT 84107-3075 | 2017-06-29 |
| 1194187997 | Chealsy Marie Darby | Behavioral Analyst | 448 E Winchester St Ste 200, Murray, UT 84107-8525 | 2016-03-22 |
| 1902275670 | Hailey Bringhurst | Behavioral Analyst | 448 E Winchester St Ste 200, Commerce Park Building #4, Murray, UT 84107-8525 | 2015-09-23 |
| 1033502315 | Brittney Cramer | Behavioral Analyst | 5965 S 900 E, Murray, UT 84121-1720 | 2015-03-11 |
| 1992124952 | Troy Angus | Behavioral Analyst | 4444 S 700 E Ste 203, Murray, UT 84107-3075 | 2014-04-07 |
| Find all providers in MURRAY | ||||
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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.