NICOLE LYNAE AMUNDSON (NPI# 1457858474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457858474 |
| Entity Type | Individual |
| Full Name | NICOLE LYNAE AMUNDSON |
| Practice Address |
123 Nw 13th St Ste 300 Boca Raton FL 33432-1624 |
| Practice Telephone | 5616856675 |
| Practice Fax Number | 5614313342 |
| Mailing Telephone | 5616856675 |
| Mailing Fax Number | 5614313342 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022122300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609386648 | Nicole Amundson | Counselor | 3132 Jefferson St, San Diego, CA 92110-4421 | 2017-10-04 |
| 1477715514 | Nicole R Amundson | Dentist | 11475 Robinson Dr Nw, Coon Rapids, MN 55433 | 2008-06-30 |
| Street Address |
123 NW 13TH ST STE 300 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33432-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639659493 | Marcha Merandieu | Behavior Technician | 123 Nw 13th St Ste 300, Boca Raton, FL 33432-1624 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024067 | Barry Wolf | Counselor | Jackwolf LLC, 247 S. Ocean Blvd, Boca Raton, FL 33432 | 2020-05-12 |
| 1225659147 | Tyler Stephanie Diaz Redford | Physician Assistant | 106 Ne 2nd St., Boca Raton, FL 33432 | 2020-05-01 |
| 1235611393 | Gabrielle Bovarnick | Behavioral Analyst | 1730 S Federal Hwy #268, Delay Beach, FL 33432 | 2018-09-05 |
| 1285113878 | Innovative Supplies, LLC | Durable Medical Equipment & Medical Supplies | 399 Camino Gardens, Ste 303, Boca Raton, FL 33432 | 2018-08-14 |
| 1376029850 | Sunlight Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1700 N. Dixie Highway, Ste 127, Boca Raton, FL 33432 | 2018-07-17 |
| 1306332648 | Sunlight Medical LLC | Durable Medical Equipment & Medical Supplies | 1700 Dixie Hwy, Suite 127, Boca Raton, FL 33432 | 2018-07-10 |
| 1669973707 | Amanda M. D'alem | Behavior Technician | Nw 13th St #300, Boca Raton, FL 33432 | 2018-02-23 |
| 1457863326 | Pipeline Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1700 N Dixie Hwy Ste 140, Boca Raton, FL 33432 | 2017-10-31 |
| 1063930717 | Francisco Jose Osorio | Behavior Technician | 123 Nw 13 St, Boca Raton, FL 33432 | 2017-09-01 |
| 1023467263 | Sraz Consultancy LLC | Counselor | 370 Camino Gardens Blvd Suite 101, Boca Raton, FL 33432 | 2016-06-08 |
| Find all providers in zip 33432 | ||||
| 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 |
|---|---|---|---|---|
| 1245830843 | Mg Puzzle Pieces Corp | Behavioral Analyst | 4400 N Federal Hwy Ste 5, Boca Raton, FL 33431-3424 | 2020-11-01 |
| 1578163630 | Goal Behavior Inc | Behavioral Analyst | 4400 N Federal Hwy Ste 4, Boca Raton, FL 33431-3424 | 2020-10-28 |
| 1679170393 | Sunshine Therapy Partners | Behavioral Analyst | 7200 Camino Real Ste 214, Boca Raton, FL 33433-5511 | 2020-10-06 |
| 1477162345 | Tukkos Therapy Center Inc | Behavioral Analyst | 240 W Palmetto Park Rd Ste 310, Boca Raton, FL 33432-3761 | 2020-07-27 |
| 1710519103 | Road To Dawn Behavioral Center LLC | Behavioral Analyst | 4400 N Federal Hwy Ste 26, Boca Raton, FL 33431-3424 | 2020-02-04 |
| 1386289643 | Systemic Behavioral Solutions, LLC | Behavioral Analyst | 1700 N Dixie Hwy Ste 104, Boca Raton, FL 33432-1807 | 2019-11-11 |
| 1194371120 | Behavioral & Educational Strategies, Corp | Behavioral Analyst | 10018 Spanish Isles Blvd Ste A13-a14, Boca Raton, FL 33498-6324 | 2019-08-15 |
| 1467921940 | Heather Kristine Good | Behavioral Analyst | 3375 Jaywood Ter Apt J105, Boca Raton, FL 33431-6578 | 2018-11-14 |
| 1417438961 | Alexis Balek | Behavioral Analyst | 9272 Vista Del Lago Apt 28b, Boca Raton, FL 33428-3147 | 2018-08-23 |
| 1912483355 | Dafnie Prophete | Behavioral Analyst | 340 W Palmetto Park Rd Unit 202b, Boca Raton, FL 33432-3785 | 2018-07-18 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33432 |
Please comment or provide details below to improve the information on NICOLE LYNAE AMUNDSON.
| 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.