NICOLETTE ROBERTSON (NPI# 1356864425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356864425 |
| Entity Type | Individual |
| Full Name | NICOLETTE ROBERTSON |
| Practice Address |
5402 Byrdhill Rd Henrico VA 23228-5807 |
| Mailing Address |
8904 Leisure Ln North Chesterfield VA 23237-2390 |
| Practice Telephone | 8045725514 |
| Mailing Telephone | 8045497839 |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0133000895 | VA | Behavioral Health & Social Service Providers |
| Street Address |
5402 BYRDHILL RD |
| City | HENRICO |
| State | VA |
| Zip Code | 23228-5807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992356976 | Nimos Trans LLC | Non-emergency Medical Transport (VAN) | 5608 Tumbleweed Cr. Apt (h), Henrico, VA 23228 | 2019-09-21 |
| 1245890433 | Laura Mary Walton | Counselor | 5500 Staples Mill Road, Richmond, VA 23228 | 2019-06-19 |
| 1841859121 | Rachel S Ford | Behavior Technician | 1640 E. Parham Road, Richmond, VA 23228 | 2019-06-10 |
| 1932766631 | Nathan Ellis | Behavior Technician | 1640 East Parham Road, Richmond, VA 23228 | 2019-05-29 |
| 1922545268 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 4008 E Parham Rd., Henrico, VA 23228 | 2017-01-25 |
| 1205371663 | Simple Solutions Psychiatry | Community/Behavioral Health | 4321 Kanipe Ct, Richmond, VA 23228 | 2016-12-21 |
| 1417406224 | Dan A Kniffen Lcsw LLC | Counselor | 4100 East Parham Road, Suite B, Henrico, VA 23228 | 2016-09-22 |
| 1316334394 | Bobbi Southard | Specialist/Technologist | 8301 Hungary Spring Road, Richmond, VA 23228 | 2015-04-17 |
| 1265836050 | Crystal Mcfaddin | Nurse Practitioner | 4301 East Parham Road, Henrico, VA 23228 | 2014-10-22 |
| 1013352376 | Pooja Rao | Internal Medicine | 4100 New Hermitage Dr, Henrico, VA 23228 | 2013-04-30 |
| Find all providers in zip 23228 | ||||
| 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 |
|---|---|---|---|---|
| 1205452273 | Elm Behavioral Health | Behavioral Analyst | 2600 Wistar St, Henrico, VA 23294-3634 | 2020-06-24 |
| 1720557630 | Rachael Ellington | Behavioral Analyst | 10912 Newlands Ave, Henrico, VA 23233-1907 | 2018-11-20 |
| 1053847558 | Building Blocks LLC | Behavioral Analyst | 1217 Elmhurst Dr, Henrico, VA 23229-5713 | 2017-05-04 |
| 1508225038 | Tonya Wajciechowski Mcdaris | Behavioral Analyst | 2829 Hilliard Rd Apt T, Henrico, VA 23228-4457 | 2016-02-11 |
| 1104221787 | Jennifer Lane | Behavioral Analyst | 1210 Foxcroft Rd, Henrico, VA 23229-5904 | 2014-10-25 |
| 1235550906 | Britney Marie Vaccaro | Behavioral Analyst | 3420 Pump Rd # 290, Henrico, VA 23233-1111 | 2013-12-26 |
| 1376985093 | Sarah Catherine Sullivan | Behavioral Analyst | 9529 Heather Spring Dr, Henrico, VA 23238-4461 | 2013-07-23 |
| 1710232152 | Heather Jacquin Davidson | Behavioral Analyst | 9351 W Broad St, Henrico, VA 23294-5437 | 2012-07-23 |
| 1942441134 | Katherine C Lewis | Behavioral Analyst | 5400 Byrdhill Rd, Henrico, VA 23228-5807 | 2009-03-17 |
| 1962056713 | Sarah James | Behavioral Analyst | 9351 W Broad St, Henrico, VA 23294-5437 | 2019-07-30 |
| Find all providers in HENRICO | ||||
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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.