NIKOLE MATINZO (NPI# 1285269555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285269555 |
| Entity Type | Individual |
| Full Name | NIKOLE MATINZO |
| Practice Address |
604 Rose St Tularosa NM 88352-2545 |
| Practice Telephone | 5754433085 |
| Mailing Telephone | 5754433085 |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2020-03-07 |
| 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 |
604 ROSE ST |
| City | TULAROSA |
| State | NM |
| Zip Code | 88352-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669950804 | Lucinda Wood | Nurse Practitioner | 111 Central Ave, Tularosa, NM 88352 | 2018-07-31 |
| 1861937641 | Suzanne Nora Mancil | Behavioral Analyst | 117 Sierra Blanca Ave, Tularosa, NM 88352 | 2017-01-03 |
| 1841318060 | Maryanna Dora Younger | Case Manager/Care Coordinator | 168 Derbyshire Rd, Tularosa, NM 88352-0274 | 2007-03-26 |
| 1902942519 | Dillard B Irby | Pharmacy | 275 Central Ave # A, Tularosa, NM 88352-2009 | 2007-01-30 |
| 1306298047 | Zia Advanced Behavior Analytic Services P C | Day Training, Developmentally Disabled Services | 117 Sierra Blanca Ave, Tularosa, NM 88352-2029 | 2016-07-06 |
| 1740729953 | Zia Advanced Behavior Analytics | Community/Behavioral Health | 117 Sierra Blanca Ave, Tularosa, NM 88352-2029 | 2017-02-21 |
| 1427124601 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 111 Central Ave, Tularosa, NM 88352-2063 | 2006-11-28 |
| 1619982097 | Christiane George | Family Medicine | 111 Central Ave, Tularosa, NM 88352-2063 | 2006-07-31 |
| 1518074749 | Brenda Rae Abercrombie | Counselor | 900 St Francis Dr, Tularosa, NM 88352-2328 | 2006-08-24 |
| 1649774266 | April Renee Gonzales | Behavior Technician | 703 6th St, Tularosa, NM 88352-2611 | 2018-03-19 |
| Find all providers in zip 88352 | ||||
| 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 |
|---|---|---|---|---|
| 1649774266 | April Renee Gonzales | Behavior Technician | 703 6th St, Tularosa, NM 88352-2611 | 2018-03-19 |
| 1437663200 | Gia Daniella Portillo | Behavior Technician | 7 Vacquero Ln, Tularosa, NM 88352-9318 | 2017-11-30 |
| 1033623301 | Jody Lea Hill | Behavior Technician | 26 Tampico Rd, Tularosa, NM 88352-9693 | 2017-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
| 1215538343 | Victoria Lopez | Behavior Technician | 1015 Pinatubo Pl Nw, Albuquerque, NM 87120-2974 | 2020-11-04 |
| 1467053967 | Candace Torres | Behavior Technician | 2572 Las Alturas Ct, Alamogordo, NM 88310-4339 | 2020-11-03 |
| 1598366080 | Maya Mascarenas | Behavior Technician | 516 Madeira Dr Se Apt 3, Albuquerque, NM 87108-2971 | 2020-11-03 |
| 1831790419 | Alisa Maria Salazar | Behavior Technician | 9610 Arvada Ave Ne, Albuquerque, NM 87112-2912 | 2020-11-02 |
| 1548861065 | Darren Anzures | Behavior Technician | 10004 Benavides Rd Sw, Albuquerque, NM 87121-8126 | 2020-11-02 |
| 1851992374 | Sara Olguin | Behavior Technician | 2910 Mountain View Dr, Carlsbad, NM 88220-3157 | 2020-11-02 |
| 1548869068 | Marian Kinsel | Behavior Technician | 5107 Loma Alto Dr, Farmington, NM 87402-8344 | 2020-10-26 |
| 1730788241 | Krysta Balzano | Behavior Technician | 1000 Paseo Del Gallo, Bernalillo, NM 87004-5558 | 2020-10-26 |
| 1376142935 | Amber Giles | Behavior Technician | 401 N Frontier St, Bloomfield, NM 87413-5529 | 2020-10-23 |
| 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.