JOHN NICKERSON (NPI# 1356988794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356988794 |
| Entity Type | Individual |
| Full Name | JOHN NICKERSON |
| Practice Address |
947 E 35th Ave Spokane WA 99203-3163 |
| Mailing Address |
2327 E 1st Ave Spokane WA 99202-3902 |
| Practice Telephone | 5099953388 |
| Mailing Telephone | 5098088482 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Gender Code | M |
| 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 |
947 E 35TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99203-3163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609311596 | Hillary Robbins | Behavioral Analyst | 947 E 35th Ave, Spokane, WA 99203-3163 | 2016-12-30 |
| 1902424146 | Jeremy Crisler | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2020-07-13 |
| 1083232573 | Samantha Renee Jernstrom | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2020-07-10 |
| 1568085447 | Megan Kathleen Mcdaid-o'neill | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2020-05-26 |
| 1184253742 | Ann Moloney | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2020-04-06 |
| 1154968428 | Sorcha Connor-boyle | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2019-12-05 |
| 1215578372 | Samantha Cook | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2019-09-30 |
| 1174184667 | Kathleen Johnson | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2019-06-25 |
| 1700345394 | Savanna Dutton | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2019-03-13 |
| 1033677919 | Brandie R Wheeler | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2019-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164992541 | Ashley Thunder Hawk | Massage Therapist | 1001 W 25th Ave # 2, Spokane, WA 99203 | 2018-11-28 |
| 1134612500 | Jill Johnston | Nurse Practitioner | 1418 S Tacoma St, Spokane, WA 99203 | 2018-06-11 |
| 1356731988 | Rebekah Elizabeth Alice | Midwife | 417 E 28th Ave, Spokane, WA 99203 | 2015-02-03 |
| 1295155455 | Jordan Diamond | Dentist | 2204 E 29th Ave Ste 104, Spokane, WA 99203 | 2014-04-25 |
| 1952687386 | Providence Phsyician Services | Family Medicine | 1919 S. Grand Blvd., Spokane, WA 99203 | 2011-10-31 |
| 1033411103 | Patricia Mary Bedalov | Speech-Language Pathologist | 1017 W. 26th Ave., Spokane, WA 99203 | 2010-11-23 |
| 1841591310 | Travis Craig Romney | Chiropractor | 1403 S Grand Blvd., Suite 101s, Spokane, WA 99203 | 2010-11-15 |
| 1942518154 | South Hill Pediatric Dentistry | Dentist | 2020 E 29th Avenue, 130, Spokane, WA 99203 | 2010-09-22 |
| 1942512421 | Judy Lynn Budrow | Massage Therapist | 1805 E. 36th, Spokane, WA 99203 | 2010-07-13 |
| 1871741843 | Elisabeth Carroll Bagby | Massage Therapist | 132 W. 32nd Ave., Spokane, WA 99203 | 2008-09-03 |
| Find all providers in zip 99203 | ||||
| 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 |
|---|---|---|---|---|
| 1821601162 | Baylee Helene Parker | Behavior Technician | 1101 W College Ave # 345, Spokane, WA 99201-2010 | 2020-08-26 |
| 1366055824 | Celine Marie Garcia | Behavior Technician | Leaps and Beyond Inc 111 E Central Ave, Spokane, WA 99208-1108 | 2020-08-25 |
| 1770192718 | Masaiuneek Mcclarron | Behavior Technician | 5112 N Adams St, Spokane, WA 99205-5410 | 2020-07-27 |
| 1548808785 | Ilinca A Ionescu | Behavior Technician | 6404 S Helena St, Spokane, WA 99223-8347 | 2019-12-18 |
| 1093353302 | Jessica Maree Gustafson | Behavior Technician | 601 W 1st Ave Ste 400, Spokane, WA 99201-3817 | 2019-12-17 |
| 1538707914 | Aleda Honablue | Behavior Technician | 1819 E Springfield Ave Ste 106, Spokane, WA 99202-2954 | 2019-12-16 |
| 1114563285 | Taylor Berntson | Behavior Technician | 1819 E Springfield Ave # H, Spokane, WA 99202-2954 | 2019-11-22 |
| 1033769047 | Angilene Dawn Smith | Behavior Technician | 157 S Howard St, Spokane, WA 99201-4422 | 2019-09-12 |
| 1588212799 | Dana Parkin | Behavior Technician | 1819 E Springfield Ave Ste 10, Spokane, WA 99202-2954 | 2019-08-30 |
| 1639632698 | Keziah Mayers | Behavior Technician | 157 S Howard St Ste 300, Spokane, WA 99201-4422 | 2019-04-08 |
| Find all providers in SPOKANE | ||||
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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.