NICOLE MICKELSON (NPI# 1427439355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427439355 |
| Entity Type | Individual |
| Full Name | NICOLE MICKELSON |
| Practice Address |
13010 Ne 20th St Suite 100 Bellevue WA 98005-2034 |
| Practice Telephone | 4256446328 |
| Mailing Telephone | 4256446328 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | CG60544493 | WA | Behavioral Health & Social Service Providers |
| Street Address |
13010 NE 20TH ST SUITE 100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174645691 | Andrea Leah Duffield | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2007-04-04 |
| 1831614197 | Jessica Danielle Stephens | Behavioral Analyst | 13010 Ne 20th St, Bellevue, WA 98008 | 2017-08-08 |
| 1144756339 | Karen Elizabeth Penewell | Physical Therapist | 13010 Ne 20th St, Ste 300, Bellevue, WA 98005-2034 | 2017-05-07 |
| 1336674902 | Nadia Kabbani | Occupational Therapist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2017-04-20 |
| 1639602592 | Elisa Peterson | Psychologist | 13010 Ne 20th St, #300, Bellevue, WA 98005-2034 | 2017-04-07 |
| 1679005342 | Peter Shirey | Behavior Technician | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2017-03-31 |
| 1497205934 | Sara Gratz | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2016-10-07 |
| 1508226531 | Michael Clark | Occupational Therapist | 13010 Ne 20th St, Ste 300, Bellevue, WA 98005-2034 | 2016-03-03 |
| 1477921583 | Chelsea Shamis | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2015-09-04 |
| 1073980975 | Nancy Underwood | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2015-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| 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 |
|---|---|---|---|---|
| 1780212282 | Sprout Therapy Group, Pllc | Behavioral Analyst | 1800 154th Ave Ne Apt E240, Bellevue, WA 98007-4381 | 2020-03-30 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1417486218 | Alexandra Nicole Detzner | Behavioral Analyst | 12729 Northup Way Ste 23, Bellevue, WA 98005-1935 | 2017-06-06 |
| 1568900199 | Pamela Lyons | Behavioral Analyst | 14434 Ne 8th St Ste 2, Bellevue, WA 98007-4146 | 2017-02-02 |
| 1841743770 | Masumi Oki | Behavioral Analyst | 929 109th Ave Ne, Bellevue, WA 98004-4404 | 2016-07-27 |
| 1437509817 | Lindsay Boyer | Behavioral Analyst | 708 Broadway St, Bellevue, IA 52031-9319 | 2016-06-16 |
| 1043664360 | Grace Eugene Lee | Behavioral Analyst | 14510 Ne 20th St, #203, Bellevue, WA 98007-3715 | 2016-04-22 |
| 1992189567 | Elizabeth Chase | Behavioral Analyst | 13010 Ne 20th St., Ste 300, Bellevue, WA 98005-2099 | 2015-07-14 |
| 1477934123 | Kathleen Girnus | Behavioral Analyst | 13010 Ne 20th St Ste 100, Bellevue, WA 98005-2037 | 2015-06-17 |
| 1558740613 | Alicia Hannah Cable | Behavioral Analyst | 13256 Ne 20th Street Suite 1, Bellevue, WA 98005 | 2015-05-22 |
| Find all providers in BELLEVUE | ||||
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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.