MISS NICOLE PEDERSON (NPI# 1538530274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538530274 |
| Entity Type | Individual |
| Full Name | MISS NICOLE PEDERSON |
| Practice Address |
1147 Leigh Ave Apt 3 San Jose CA 95126-4533 |
| Practice Telephone | 9253370327 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | CA | Behavioral Health & Social Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275049900 | Nicole Pederson | Counselor | 215 Lakewood Way Sw # 205, Atlanta, GA 30315-6022 | 2017-12-18 |
| 1245735364 | Nicole Pederson | Pharmacist | 5885 Barnes Rd, Colorado Springs, CO 80922-3512 | 2018-03-29 |
| 1316485071 | Nicole L Pederson | Genetic Counselor, MS | 400 E Third Street, Duluth, MN 55805-1951 | 2017-02-02 |
| 1487999702 | Nicole Kathryn Pederson | Physical Therapist | 433 Soscol Avenue, Suite B 191, Napa, CA 94559-4040 | 2012-11-28 |
| 1659498475 | Nicole L. Pederson | Physical Therapist | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2007-03-25 |
| Street Address |
1147 LEIGH AVE APT 3 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-4533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| 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 |
|---|---|---|---|---|
| 1194332049 | B Is for Butterfly | Behavioral Analyst | 1314 Bilbo Ct, San Jose, CA 95121-2402 | 2020-09-24 |
| 1942816673 | Christian Jose Antonio Carrillo | Behavioral Analyst | 2420 Klein Rd, San Jose, CA 95148-1801 | 2020-09-17 |
| 1770193146 | Melissa Leon Sierra | Behavioral Analyst | 2146 Pacina Dr, San Jose, CA 95116-3647 | 2020-07-31 |
| 1215552435 | Jaime Kim | Behavioral Analyst | 1494 Hamilton Ave, San Jose, CA 95125-4535 | 2020-06-12 |
| 1346865979 | Bloom Aba | Behavioral Analyst | 2326 Oak Flat Rd, San Jose, CA 95131-1929 | 2020-06-09 |
| 1760018907 | Vanessa Parker | Behavioral Analyst | 2895 Old Almaden Rd Apt 12, San Jose, CA 95125-4236 | 2020-03-19 |
| 1326673104 | Roque Leon | Behavioral Analyst | 576 S 5th St Apt 18, San Jose, CA 95112-5649 | 2020-03-11 |
| 1881234482 | Silvia Maria Pinto | Behavioral Analyst | 2007 W Hedding St Ste 214, San Jose, CA 95128-1428 | 2020-01-10 |
| 1376182717 | Serena Richardson | Behavioral Analyst | 2007 W Hedding St Ste 201, San Jose, CA 95128-1428 | 2020-01-02 |
| 1205479409 | Jennifer Hunter | Behavioral Analyst | 223 Birch Ridge Cir, San Jose, CA 95123-2655 | 2019-10-21 |
| Find all providers in SAN JOSE | ||||
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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.