MR. NICK R AVILA III (NPI# 1982203550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982203550 |
| Entity Type | Individual |
| Full Name | MR. NICK R AVILA III |
| Practice Address |
372 Live Oak Ln Galax VA 24333-5476 |
| Practice Telephone | 2762387100 |
| Practice Fax Number | 2762380024 |
| Mailing Telephone | 2762387100 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639471485 | Nick Valentine Avila | Counselor | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2010-11-30 |
| Street Address |
372 LIVE OAK LN |
| City | GALAX |
| State | VA |
| Zip Code | 24333-5476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508872 | Family Preservation Services Inc. | Community/Behavioral Health | 140 D Larkspur Lane, Galax, VA 24333 | 2018-11-27 |
| 1215464292 | Emil William Sandstrom | Social Worker | 6999 Carrrolton Pike, Galax, VA 24333 | 2017-05-22 |
| 1548676505 | Ashley Allen Houk | Nurse Practitioner | 199 Hospital Dr Ste 7, Galax, VA 24333 | 2014-07-10 |
| 1043558745 | Oldtown Medical Care, LLC | Family Medicine | 306 Meadow St, Galax, VA 24333 | 2013-01-30 |
| 1447524152 | Karli Cathleen Meagher | Social Worker | 210 Calhoun Street, Galax, VA 24333 | 2012-02-27 |
| 1609003615 | Family Preservation Services, Inc | Community/Behavioral Health | 105 Rosenwald Felts Drive, Galax, VA 24333 | 2009-06-17 |
| 1730399452 | Stephen Earl Gause | Counselor | 6999 Carrollton Pike, Galax, VA 24333 | 2007-05-23 |
| 1326269903 | Rebecca L. Stanley | Counselor | 112 Painter Street, Galax, VA 24333 | 2007-05-01 |
| 1811075187 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1047 East Stuart Dr, Unit 18, Galax, VA 24333 | 2006-11-02 |
| 1497858872 | Ethan Young Jones | Dentist | 1001 E Stuart Drive, Galax, VA 24333 | 2006-09-07 |
| Find all providers in zip 24333 | ||||
| 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 |
|---|---|---|---|---|
| 1245863505 | Susan Grace Davis | Behavioral Analyst | 6999 Carrollton Pike Ste 2, Galax, VA 24333-6341 | 2020-02-14 |
| 1417456922 | Susan Louise Humphrey | Behavioral Analyst | 106 Calhoun St, Galax, VA 24333-3840 | 2018-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548449 | Mikhail Ignatov | Behavioral Analyst | 1600 N Beauregard St Ste 100, Alexandria, VA 22311-1732 | 2020-11-04 |
| 1588265060 | Emory Christine Bruno | Behavioral Analyst | 10487 Lakeridge Pkwy Ste 450, Ashland, VA 23005-8151 | 2020-11-03 |
| 1316547516 | Thrive Behavioral Consulting, LLC | Behavioral Analyst | 204 Reservoir Ln, Suffolk, VA 23434-4456 | 2020-10-27 |
| 1750980199 | Rubric Behavioral and Educational Services, LLC | Behavioral Analyst | 4131 36th St S, Arlington, VA 22206-1805 | 2020-10-17 |
| 1821696113 | Songbird Health Va LLC | Behavioral Analyst | 1390 Chain Bridge Rd, Mc Lean, VA 22101-3904 | 2020-10-09 |
| 1972100212 | Aaron Nicole Turner | Behavioral Analyst | 3500 Quail Meadows Ct, Midlothian, VA 23112-4461 | 2020-10-08 |
| 1427664150 | Madimba Kayumba | Behavioral Analyst | 2651 Arlington Dr Apt 204, Alexandria, VA 22306-3626 | 2020-09-18 |
| 1023622230 | Joanne Perdu-ouimet | Behavioral Analyst | Incredible Changes, 4191 Waterway Dr., Dumfries, VA 22025 | 2020-09-04 |
| 1265044432 | Shawnita Amber Collins | Behavioral Analyst | 2700 Neabsco Common Pl Apt 242, Woodbridge, VA 22191-6779 | 2020-08-19 |
| 1801406723 | Paris Terrell | Behavioral Analyst | 4528 Plank Rd Ste A3, Fredericksburg, VA 22407-0141 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.