NICOLE DANIELLE SHAW (NPI# 1356989966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356989966 |
| Entity Type | Individual |
| Full Name | NICOLE DANIELLE SHAW |
| Credential | MS, NCC, LBS |
| Practice Address |
1400 Fox Hill Rd Ste 100 State College PA 16803-1877 |
| Mailing Address |
14oo Foxhill Road Suite 100 State College PA 16803 |
| Practice Telephone | 8142384851 |
| Mailing Telephone | 8142384851 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 004571 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457701005 | Nicole M Shaw | Physical Therapist | 3100 Colony Dr, Alliance, OH 44601-5244 | 2016-06-14 |
| 1316277593 | Nicole Levarsette Shaw | Pharmacy Technician | 1602 Princeton Ln, Augusta, GA 30904-5070 | 2010-01-11 |
| 1295297497 | Nicole Shaw | Psychiatry & Neurology | 5841 S Maryland Ave # Mc1052, Chicago, IL 60637-1443 | 2019-04-05 |
| 1023572997 | Nicole Shaw | Speech-Language Pathologist | 4500 E Cherry Creek South Dr Ste 710, Denver, CO 80246-1534 | 2019-01-25 |
| 1386151850 | Nicole Shaw | Physical Therapist | 185 Harrison Ave, Boston, MA 02111-1804 | 2018-01-05 |
| 1861910549 | Nicole Shaw | Counselor | 2450 E Fort Union Blvd, Cottonwood Heights, UT 84121-3337 | 2017-09-01 |
| 1801253703 | Nicole Shaw | Counselor | 847 Ne 19th Ave, Portland, OR 97232 | 2016-01-22 |
| 1346614138 | Nicole B Shaw | Nurse Practitioner | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | 2015-11-17 |
| 1285079020 | Nicole Shaw | Family Medicine | 1890 Al Highway 157 Ste 300, Cullman, AL 35058-0689 | 2013-05-07 |
| 1568704039 | Nicole Leanne Shaw | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2013-03-22 |
| Street Address |
1400 FOX HILL RD STE 100 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-1877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922664911 | Jacqueline Ann Huber | Behavioral Analyst | 1400 Fox Hill Rd Ste 100, State College, PA 16803-1877 | 2019-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| 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 |
|---|---|---|---|---|
| 1245875632 | Michael Leo Depaul | Behavioral Analyst | 1400 Fox Hill Rd Ste 100a, State College, PA 16803-1877 | 2019-11-09 |
| 1922664911 | Jacqueline Ann Huber | Behavioral Analyst | 1400 Fox Hill Rd Ste 100, State College, PA 16803-1877 | 2019-05-15 |
| 1669901971 | Shelby Gundling | Behavioral Analyst | 721 Cricklewood Dr, State College, PA 16803-2113 | 2017-06-08 |
| 1609261775 | Regina Brimmer | Behavioral Analyst | 127 Clemson Ct, State College, PA 16803-1178 | 2015-04-05 |
| 1700207040 | Sarah Foreman | Behavioral Analyst | 105 Suburban Ave, State College, PA 16803-3038 | 2014-01-03 |
| 1215310222 | Brimmer Behavioral Services LLC | Behavioral Analyst | 127 Clemson Ct, State College, PA 16803-1178 | 2015-07-08 |
| 1477990083 | Qbc, LLC | Behavioral Analyst | 140 Rhaubert Cir, State College, PA 16801-7250 | 2013-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407257 | Megan Blocker | Behavioral Analyst | 76 Glen Moore Cir, Lancaster, PA 17601-4024 | 2020-11-03 |
| 1871194498 | Janet Price | Behavioral Analyst | 109 Plaza Drive, Unit 5, Long Pond, PA 18334 | 2020-11-02 |
| 1700486321 | Jasmin Jetie Tyree | Behavioral Analyst | 109 S 63rd St, Philadelphia, PA 19139-2929 | 2020-11-01 |
| 1588264642 | Mackenzie Morcom | Behavioral Analyst | 807 Moosic Rd, Old Forge, PA 18518-2032 | 2020-10-28 |
| 1508465055 | Sally Martincic | Behavioral Analyst | 115 Jennifer Dr, Sciota, PA 18354-7601 | 2020-10-25 |
| 1659970192 | Songbird Health Pa LLC | Behavioral Analyst | 325 Chestnut St Ste 876, Philadelphia, PA 19106-2614 | 2020-10-24 |
| 1487253290 | Peter Heh | Behavioral Analyst | 1690 Kennedy Rd, Imperial, PA 15126-9130 | 2020-10-22 |
| 1184223422 | Lauren Killion | Behavioral Analyst | 7626 Burholme Ave, Philadelphia, PA 19111-2411 | 2020-10-19 |
| 1407454622 | Sakeena Myrick | Behavioral Analyst | 2405 S Edgewood St, Philadelphia, PA 19142-3201 | 2020-10-09 |
| 1639786965 | Children's Universal Behavior Services | Behavioral Analyst | 107 Shawnee Square Dr Se # E, Shawnee On Delaware, PA 18356-0700 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
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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.