MICHAEL W NICKERSON (NPI# 1932672441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932672441 |
| Entity Type | Individual |
| Full Name | MICHAEL W NICKERSON |
| Credential | BCBA |
| Practice Address |
415 Davenport Ave Valparaiso FL 32580-1074 |
| Practice Telephone | 8509745938 |
| Mailing Telephone | 8509745938 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649691122 | Michael Scott Nickerson | Nurse Practitioner | 700 5th Ave S, St. Petersburg, FL 33785 | 2013-12-30 |
| 1790927671 | Michael David Nickerson Jr. | Anesthesiology | 3551 Roger Brooke Drive, San Antonio Medical Center Department of Anesthesia, Jbsa Fort Sam Houston, TX 78234 | 2009-03-24 |
| 1699954198 | Michael Jefferey Nickerson | Counselor | 433 Salinas St, Salinas, CA 93901-2717 | 2007-10-31 |
| 1801926357 | Michael David Nickerson Sr. | Dentist | 240 South Main Street, Kilmarnock, VA 22482 | 2007-03-06 |
| 1942219381 | Michael Nickerson | Nurse Practitioner | 333 Borthwick Ave, Emergency Department, Portsmouth, NH 03801-7128 | 2006-08-05 |
| Street Address |
415 DAVENPORT AVE |
| City | VALPARAISO |
| State | FL |
| Zip Code | 32580-1074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376902254 | Miriam Rodriguez | Dentist | Ignacio Zaragoza #1015, Col. Salvarcar, Juarez, CHIHUAHUA 32580 | 2016-02-19 |
| 1346334422 | Annette Brabham | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580 | 2006-10-03 |
| 1710920897 | Thaddaeus R Castaneda | Family Medicine | 143 S. John Sims Prkwy, Valparaiso, FL 32580 | 2006-06-14 |
| 1255389938 | Neil Baker Nipper | Family Medicine | 350 Jackson Circle, Valparaiso, FL 32580 | 2006-05-04 |
| 1821608225 | Patrick Conner Sharp | Chiropractor | 127 N John Sims Pkwy Unit B, Valparaiso, FL 32580-1005 | 2020-07-31 |
| 1093769788 | Larissa Nicole Tenzycki | Chiropractor | 127 N John Sims Pkwy Ste B, Valparaiso, FL 32580-1005 | 2006-05-19 |
| 1518590546 | Growing Green Families, Pllc | Chiropractor | 127 N John Sims Pkwy Ste B, Valparaiso, FL 32580-1005 | 2020-02-18 |
| 1255635348 | Annette Brabham Od Pa | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2011-01-04 |
| 1477853364 | C S Peters Od, Pa | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2010-10-26 |
| 1902990161 | C S Peters | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2006-10-03 |
| Find all providers in zip 32580 | ||||
| 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 |
|---|---|---|---|---|
| 1346603750 | Samantha Hall | Behavioral Analyst | 908 Roosevelt Rd Ste K, Valparaiso, IN 46383-4376 | 2016-04-02 |
| 1194132514 | Emerald Coast Autism Center | Behavioral Analyst | 315 Edge Ave, Valparaiso, FL 32580-1807 | 2014-07-17 |
| 1104484542 | Katie Moldenhauer | Behavioral Analyst | 2101 Comeford Rd, Valparaiso, IN 46383-8385 | 2019-05-31 |
| 1053778688 | Montana Hobbs | Behavioral Analyst | 315 Edge Ave, Valparaiso, FL 32580-1807 | 2016-01-27 |
| 1669856548 | Heather Brooks | Behavioral Analyst | 315 Edge Ave, Valparaiso, FL 32580-1807 | 2015-07-10 |
| 1992188866 | Brittney Farley | Behavioral Analyst | 315 Edge Ave, Valparaiso, FL 32580-1807 | 2015-07-09 |
| 1912390626 | Sherrel Hill | Behavioral Analyst | 315 Edge Ave, Valparaiso, FL 32580-1807 | 2015-03-05 |
| 1417349119 | Lynsie Matern | Behavioral Analyst | 315 Edge Ave, Valparaiso, FL 32580-1807 | 2015-03-04 |
| 1659763571 | Ashley Throneberry | Behavioral Analyst | 315 Edge Ave, Valparaiso, FL 32580-1807 | 2015-03-02 |
| 1285024182 | Nicole Lafata | Behavioral Analyst | 601 Wall St, Valparaiso, IN 46383-2512 | 2015-01-29 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 32580 |
Please comment or provide details below to improve the information on MICHAEL W NICKERSON.
| 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.