MRS. NICOLE YVETTE PETERSON (NPI# 1366882938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366882938 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE YVETTE PETERSON |
| Credential | BS |
| Practice Address |
278 Marty Dr Manteca CA 95336-3450 |
| Practice Telephone | 5103773455 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851956072 | Nicole Peterson | Acupuncturist | 208 Oak St Ste 106e, Ashland, OR 97520-1871 | 2019-05-02 |
| 1225017734 | Nicole E Peterson | Physical Therapist | 1245 15th St N, Saint Cloud, MN 56303-1802 | 2006-01-12 |
| 1114540564 | Nicole Peterson | Physician Assistant | 3620 N 3rd St, Phoenix, AZ 85012-2020 | 2020-05-20 |
| 1538780697 | Nicole Peterson | Behavior Technician | 233 S 13th St Ste 1100, Lincoln, NE 68508-2003 | 2020-04-29 |
| 1518511492 | Nicole Peterson | Registered Nurse | 1200 Collins Ave, Mandan, ND 58554-2066 | 2019-07-29 |
| 1548738743 | Nicole Peterson | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-11-06 |
| 1114411568 | Nicole Arlene Peterson | Case Manager/Care Coordinator | 682 Briergate Way, Hayward, CA 94544-7245 | 2018-06-19 |
| 1639603913 | Nicole Marie Peterson | Nurse Practitioner | 2251 N Shore Dr, Rhinelander, WI 54501 | 2017-04-13 |
| 1821547621 | Nicole Peterson | Pharmacist | 1201 W Crawford St, Salina, KS 67401-4657 | 2016-09-22 |
| 1144694068 | Nicole Sheree Peterson | Physician Assistant | 1551 Renaissance Towne Dr Ste 400, Bountiful, UT 84010-7676 | 2015-11-16 |
| Street Address |
278 MARTY DR |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| Find all providers in zip 95336 | ||||
| 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 |
|---|---|---|---|---|
| 1629568050 | Soquel Breanne Verver | Behavioral Analyst | 708 Pine St, Manteca, CA 95336-4814 | 2018-05-10 |
| 1821410069 | Iva Farris | Behavioral Analyst | 1682 Silverwood Ave, Manteca, CA 95336-2827 | 2014-01-07 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073334 | Asha Aba, LLC | Behavioral Analyst | 4201 Vincente St, Fremont, CA 94536-4512 | 2020-11-07 |
| 1225639305 | Tanisha Grant | Behavioral Analyst | 4592 Warner Ave, Huntington Beach, CA 92649 | 2020-11-04 |
| 1306446109 | Andrea Huizar | Behavioral Analyst | 10236 Fern Ave, Stanton, CA 90680-1711 | 2020-10-29 |
| 1932709730 | Kathleen Brock Murphy | Behavioral Analyst | 4456 Manzanita Ave Ste 2, Clearlake, CA 95422-7200 | 2020-10-29 |
| 1932709003 | Jazmin Ramirez | Behavioral Analyst | 10415 San Luis Ave, South Gate, CA 90280-6627 | 2020-10-28 |
| 1194325548 | Valeria Del Rocio Temblador | Behavioral Analyst | 510 N Mcdonnell Ave, East Los Angeles, CA 90022-1111 | 2020-10-27 |
| 1114527561 | Miriam Soledad Bautista | Behavioral Analyst | 1060 Chinquapin Ave Apt 3, Carlsbad, CA 92008-3539 | 2020-10-27 |
| 1922607449 | Martin Johns | Behavioral Analyst | 11618 Wake Cir, Cypress, CA 90630-5547 | 2020-10-26 |
| 1962001552 | Leandra Barisoff | Behavioral Analyst | 13920 City Center Dr # 219, Chino Hills, CA 91709-5432 | 2020-10-23 |
| 1740889617 | Kolby James Losik | Behavioral Analyst | 19219 Coliseum Ln, Marina, CA 93933-5232 | 2020-10-21 |
| 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.