DALLAS NICHOLSON (NPI# 1275009755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275009755 |
| Entity Type | Individual |
| Full Name | DALLAS NICHOLSON |
| Practice Address |
1505 Blanding St Columbia SC 29201-2906 |
| Practice Telephone | 8039290011 |
| Mailing Telephone | 8039290011 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2019-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1505 BLANDING ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629468491 | Allison Brazendale | Psychologist | 1505 Blanding St, Columbia, SC 29201-2906 | 2015-01-30 |
| 1114524410 | Kelsey Jadin | Behavioral Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2020-10-08 |
| 1053927004 | Kathryn L Marsh | Psychologist | 1505 Blanding St, Columbia, SC 29201-2906 | 2020-09-16 |
| 1720692684 | Susannah Hamilton Harvin | Behavioral Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2020-09-08 |
| 1780212209 | Alex Fidler | Behavioral Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2020-03-30 |
| 1336784438 | Jane Christina Stratton | Behavioral Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2019-11-12 |
| 1457902454 | Allyson Spak | Assistant Behavior Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2019-09-23 |
| 1952951071 | Courtney Renee Pearson | Assistant Behavior Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2019-09-19 |
| 1376190967 | Kathleen Blackburn Franke | Psychologist | 1505 Blanding St, Columbia, SC 29201-2906 | 2019-08-20 |
| 1013577592 | Jorge Aaron Garcia | Behavioral Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2019-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| 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 |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1104423029 | Khashema Boyer | Behavior Technician | 8950 Rte 108 Ste 123, Columbia, MD 21045-2146 | 2020-10-04 |
| 1689281974 | Shalexis Wilson | Behavior Technician | 10360 Swift Stream Pl Apt 412, Columbia, MD 21044-4943 | 2020-09-30 |
| 1144834219 | Hanna Doherty | Behavior Technician | 350 Taylor St Unit G, Columbia, SC 29201-2292 | 2020-09-04 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1346859048 | Jessica Jane Russell | Behavior Technician | 1107 Carrie Bolin Dr, Columbia, KY 42728-1034 | 2020-07-28 |
| 1235748914 | Heather Marie Merchant | Behavior Technician | 5682 Stevens Forest Rd Apt 44, Columbia, MD 21045-3312 | 2020-07-28 |
| 1720606155 | Jennifer Michelle Cundiff | Behavior Technician | 309 Hurt St Apt 202, Columbia, KY 42728-2303 | 2020-07-13 |
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
| Find all providers in COLUMBIA | ||||
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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.