ANNA L NICHOLSON (NPI# 1164915922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164915922 |
| Entity Type | Individual |
| Full Name | ANNA L NICHOLSON |
| Credential | RBT |
| Practice Address |
800 W Woodlawn Ave Louisville KY 40215 |
| Mailing Address |
800 W Woodlawn Ave Louisville KY 40215-2472 |
| Practice Telephone | 5024097181 |
| Practice Fax Number | 8884500935 |
| Mailing Telephone | 5024097181 |
| Mailing Fax Number | 8884500935 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-17-39054 | IN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 632 Eastern Blvd, Clarksville, IN 471292454 | 8127259025 | 3176631175 |
| Street Address |
800 W WOODLAWN AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922336916 | Jason Neel Simmons | Behavioral Analyst | 800 W Woodlawn Ave, Louisville, KY 40215-2472 | 2009-12-02 |
| 1053924688 | Molly White | Behavioral Analyst | 800 W Woodlawn Ave, Louisville, KY 40215-2472 | 2020-08-24 |
| 1770129330 | Madison D Van Zile | Behavior Technician | 800 W Woodlawn Ave, Louisville, KY 40215-2472 | 2019-11-19 |
| 1235699737 | Olivia Payne | Behavior Technician | 800 W Woodlawn Ave, Louisville, KY 40215-2472 | 2019-03-21 |
| 1285194787 | Andrew N Hurt | Behavior Technician | 800 W Woodlawn Ave, Louisville, KY 40215-2472 | 2019-03-21 |
| 1386119873 | Emma Brink | Behavioral Analyst | 800 W Woodlawn Ave, Louisville, KY 40215-2472 | 2018-10-10 |
| 1750800371 | Stephanie Weddle | Behavioral Analyst | 800 W Woodlawn Ave, Louisville, KY 40215-2472 | 2017-09-14 |
| 1932625621 | Josie Boerner | Behavioral Analyst | 800 W Woodlawn Ave, Louisville, KY 40215-2472 | 2017-08-15 |
| 1790200335 | Mariah Huffman | Behavioral Analyst | 800 W Woodlawn Ave, Louisville, KY 40215-2472 | 2017-08-04 |
| 1740738988 | Sable Doucette | Behavioral Analyst | 800 W Woodlawn Ave, Louisville, KY 40215-2472 | 2016-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| 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 |
|---|---|---|---|---|
| 1710504063 | Alyssa Jones | Behavior Technician | 2831 S Hurstbourne Pkwy Ste A, Louisville, KY 40220-4112 | 2020-07-02 |
| 1255958013 | Lauren Ashley Jenkins-payne | Behavior Technician | 279 S Taft Ct # 10east, Louisville, CO 80027-9515 | 2020-06-28 |
| 1285269043 | Davon Dejoun Adams | Behavior Technician | 3712 Georgetown Cir Apt 3, Louisville, KY 40215-1635 | 2020-03-11 |
| 1114557006 | Rachael Bland | Behavior Technician | 215 S Hurstbourne Pkwy Ste 150, Louisville, KY 40222-4937 | 2020-01-21 |
| 1467019679 | Pratique Gupta | Behavior Technician | 1169 Eastern Pkwy # G111, Louisville, KY 40217-1417 | 2019-05-22 |
| 1598228991 | Chelcie Payne | Behavior Technician | 1169 Eastern Pkwy Ste 1800, Louisville, KY 40217-1417 | 2019-04-11 |
| 1871067652 | Marvea Johnson | Behavior Technician | 5305 Craigs Creek Dr, Louisville, KY 40241-4842 | 2019-01-15 |
| 1831683283 | Tierra Brown | Behavior Technician | 1169 Eastern Pkwy Ste 11111169, Louisville, KY 40217-1417 | 2018-06-19 |
| 1477058857 | Christopher Matthew Richardson | Behavior Technician | 1169 Eastern Pkwy Ste G1111, Louisville, KY 40217-1462 | 2018-03-27 |
| 1750897898 | David Haydon Newton | Behavior Technician | 5225 Oldshire Rd, Louisville, KY 40229-5218 | 2017-12-27 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
Please comment or provide details below to improve the information on ANNA L NICHOLSON.
| 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.