NICOLE DIANA PORTER (NPI# 1467922179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467922179 |
| Entity Type | Individual |
| Full Name | NICOLE DIANA PORTER |
| Practice Address |
1652 W Texas St Ste 244 Fairfield CA 94533-5952 |
| Mailing Address |
390 Union Blvd Ste 300 Lakewood CO 80228-6514 |
| Practice Telephone | 9254622281 |
| Mailing Telephone | 3039898172 |
| Mailing Fax Number | 3039844366 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750928925 | Nicole Porter | Specialist/Technologist | 390 Se 10th St, Madras, OR 97741-1573 | 2019-12-05 |
| 1053957092 | Nicole Porter | Social Worker | 600 W Campbell Rd Ste 1, Richardson, TX 75080-3357 | 2019-11-25 |
| 1891260162 | Nicole Porter | Psychologist | 201 Colorado Ave, Frankfort, IL 60423-1333 | 2018-10-12 |
| 1164997771 | Nicole Porter | Counselor | 232 2nd Ave S Ste 201, Kent, WA 98032-5862 | 2018-10-10 |
| 1003394347 | Nicole Porter | Community/Behavioral Health | 7700 Irvine Center Dr Ste 220, Irvine, CA 92618-3012 | 2018-07-30 |
| 1275064081 | Nicole Porter | Occupational Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2017-03-23 |
| 1437552064 | Nicole L Porter | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2014-09-26 |
| 1912244823 | Nicole Porter | Community Health Worker | 5350 Machado Ln, Culver City, CA 90230-8800 | 2013-01-11 |
| Street Address |
1652 W TEXAS ST STE 244 |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-5952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558831263 | Catalina Correa | Behavior Technician | 1652 W Texas St Ste 244, Fairfield, CA 94533-5952 | 2018-11-26 |
| 1538624556 | Tara Burke | Behavior Technician | 1652 W Texas St Ste 244, Fairfield, CA 94533-5952 | 2019-02-04 |
| 1740745769 | De'zhanice Kirtdoll | Behavior Technician | 1652 W Texas St Ste 244, Fairfield, CA 94533-5952 | 2019-02-04 |
| 1730644758 | Lauren Boynton | Behavior Technician | 1652 W Texas St Ste 244, Fairfield, CA 94533-5952 | 2019-02-04 |
| 1265997282 | Nancy Theis | Behavior Technician | 1652 W Texas St Ste 244, Fairfield, CA 94533-5952 | 2019-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| 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 |
|---|---|---|---|---|
| 1316551997 | Melissa Fitzgerald | Behavior Technician | 1184 Ironwood Ct, Fairfield, CA 94533-7729 | 2020-09-01 |
| 1669008512 | Jeanett Guadalupe De La Mora | Behavior Technician | 1440 Empire St, Fairfield, CA 94533-4722 | 2020-03-22 |
| 1285268003 | Giovanna Lee Gonzalez-pedraza | Behavior Technician | 561 Americano Way, Fairfield, CA 94533-7214 | 2020-03-02 |
| 1770137168 | Anita Nichole Cook | Behavior Technician | 36 Villa Ct, Fairfield, CA 94533-2527 | 2019-07-24 |
| 1710549696 | Kailee Lynn Wilder | Behavior Technician | 744 Empire St Ste 102, Fairfield, CA 94533-5562 | 2019-07-01 |
| 1700445897 | Mariah Annastesia Garrick | Behavior Technician | 2452 Skyview Cir, Fairfield, CA 94534-8626 | 2019-06-12 |
| 1427519222 | Luis Velazquez | Behavior Technician | 801 Jefferson St Ste 3&45&6, Fairfield, CA 94533-5557 | 2019-03-26 |
| 1881164952 | Marilyn Platero | Behavior Technician | 2581 Vista Grande, Fairfield, CA 94534-1771 | 2018-11-30 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1558831263 | Catalina Correa | Behavior Technician | 1652 W Texas St Ste 244, Fairfield, CA 94533-5952 | 2018-11-26 |
| Find all providers in FAIRFIELD | ||||
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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.