NICOLE LEE (NPI# 1023599966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023599966 |
| Entity Type | Individual |
| Full Name | NICOLE LEE |
| Practice Address |
1450 54th St Ste C Columbus GA 31904-4494 |
| Mailing Address |
10175 Fortune Pkwy Unit 903 Jacksonville FL 32256-6755 |
| Practice Telephone | 7062211208 |
| Mailing Telephone | 9045380713 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-63267 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277455 | Nicole Anne Bodenstab Lee | Social Worker | 158 Mcclure Ave, Nampa, ID 83651-2025 | 2020-05-25 |
| 1043844889 | Nicole Sang-ah Lee | Student in an Organized Health Care Education/Training Program | 707 Parnassus Ave Ste D-1201, San Francisco, CA 94143-2210 | 2020-03-02 |
| 1760046734 | Nicole A Lee | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-25 |
| 1659878056 | Nicole Dawn Lee | Licensed Vocational Nurse | 1700 Rogers Rd Apt 456, Fort Worth, TX 76107-8618 | 2018-04-11 |
| 1467979815 | Nicole Lee | Pharmacist | 300 Pasteur Dr Rm H0301, Stanford, CA 94305-2200 | 2017-08-26 |
| 1588107155 | Nicole Marie Lee | Specialist/Technologist | 6505 Reflection Dr Apt 206, San Diego, CA 92124-3108 | 2016-11-29 |
| 1740640341 | Nicole Lee | Counselor | 4747 Earhart Blvd Ste 106, New Orleans, LA 70125-1743 | 2016-02-25 |
| 1780051763 | Nicole Stephanie Lee | Optometrist | 8000 Nisky Shopping Ctr Ste 19, St Thomas, VI 00802-5810 | 2015-08-26 |
| 1578951331 | Nicole Lee | Community Health Worker | 12955 Riverdale Ave, Detroit, MI 48223-3083 | 2015-01-02 |
| 1396154191 | Nicole Lee | Social Worker | 51 Argyle Rd, Apartment C3, Brooklyn, NY 11218-2955 | 2014-08-05 |
| Street Address |
1450 54TH ST STE C |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-4494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841653227 | Daniella Castro | Behavioral Analyst | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2016-04-01 |
| 1003442484 | Angelique Jones | Behavioral Analyst | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2020-03-18 |
| 1063072239 | Chandler Brock | Behavioral Analyst | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2019-06-19 |
| 1548823941 | Elizabeth Bacia | Behavior Technician | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2019-04-22 |
| 1326504879 | Tania Roman | Behavior Technician | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2019-02-20 |
| 1518423987 | Tricia Decker | Behavior Technician | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2019-02-11 |
| 1215401724 | Moriah Willis | Behavior Technician | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2019-01-17 |
| 1235600396 | Nalice Moore | Behavioral Analyst | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2018-12-16 |
| 1306327150 | Caitlyn Taylor | Behavioral Analyst | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2018-08-28 |
| 1205315587 | Maria Ruhstorfer | Behavior Technician | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| 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 |
|---|---|---|---|---|
| 1760089627 | Leora A Sales | Behavior Technician | 3070 Riverside Dr, Ste 200, Columbus, Oh, Columbus, OH 43221 | 2020-10-05 |
| 1255948832 | Kayla Maree Pitzer | Behavior Technician | 1639 Bradley Park Dr Ste 500, Columbus, GA 31904-3623 | 2020-09-28 |
| 1225659055 | Nyesha Newsom | Behavior Technician | 5394 Ivywood Ln, Columbus, OH 43229-3909 | 2020-05-04 |
| 1437770708 | Erin M Beach | Behavior Technician | 3070 Riverside Dr Ste 400, Columbus, OH 43221-2547 | 2020-04-28 |
| 1790310001 | Mackenzie Ann Steitz | Behavior Technician | 3070 Riverside Dr # 200, Columbus, OH 43221-2547 | 2020-03-06 |
| 1891335352 | Dayana Banks | Behavior Technician | 3070 Riverside Dr Unit 200, Columbus, OH 43221-2547 | 2020-01-13 |
| 1730729401 | Sarah Hendricks | Behavior Technician | 2222 Poshard Dr, Columbus, IN 47203-1843 | 2020-01-10 |
| 1740821362 | Luke Marcus Ekstrom | Behavior Technician | 1349 Warren Williams Rd, Columbus, GA 31901-2630 | 2019-10-04 |
| 1972152122 | Emily Grace Rhodes | Behavior Technician | 3575 Macon Rd Ste 11, Columbus, GA 31907-8228 | 2019-09-10 |
| 1295387892 | Dewaynia Traniese Farrow | Behavior Technician | 1709 Bunker Hill Rd, Columbus, GA 31907-6719 | 2019-07-12 |
| Find all providers in COLUMBUS | ||||
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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.