MALCOLM HENRY NICHOLS (NPI# 1538721741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538721741 |
| Entity Type | Individual |
| Full Name | MALCOLM HENRY NICHOLS |
| Practice Address |
4441 Diplomacy Dr Anchorage AK 99508-5910 |
| Mailing Address |
7033 E Tudor Rd Anchorage AK 99507-1262 |
| Practice Telephone | 9077298880 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
4441 DIPLOMACY DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588862684 | Patricia Jane Clark Capo | Obstetrics & Gynecology | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2007-07-10 |
| 1861010100 | Emani Secret | Behavior Technician | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2020-07-13 |
| 1720603095 | Southcentral Foundation | Clinic/Center | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2020-06-12 |
| 1598399602 | Alex John Olson | Student in an Organized Health Care Education/Training Program | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2020-02-27 |
| 1124666730 | Southcentral Foundation | Clinic/Center | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2019-12-13 |
| 1962040634 | Southcentral Foundation | Psychologist | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2019-12-12 |
| 1659924108 | Southcentral Foundation | Community/Behavioral Health | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2019-07-23 |
| 1124686076 | Southcentral Foundation | Behavioral Analyst | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2019-06-04 |
| 1750948170 | Allison Margaret Capps | Behavior Technician | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2019-05-21 |
| 1134786734 | Stephanie Lee Douglas | Licensed Practical Nurse | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2019-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| 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 |
|---|---|---|---|---|
| 1801422142 | Jacqueline Tarner | Behavior Technician | 13030 Brandon St, Anchorage, AK 99515-3536 | 2020-03-18 |
| 1134770035 | Samantha Jones | Behavior Technician | 1153 E 72nd Ave, Anchorage, AK 99518-2369 | 2019-09-23 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1316509805 | Kelly J Ross | Behavior Technician | 3819 Remington Cir, Anchorage, AK 99507-2888 | 2019-07-03 |
| 1033770672 | Kathy Eileen Mailelle | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-25 |
| 1669038493 | Sharone Elaine Thornton | Behavior Technician | 8731 Flamingo Dr, Anchorage, AK 99502-5423 | 2019-05-16 |
| 1306402789 | Benjamin Fielder | Behavior Technician | 6045 E 43rd Ave, Anchorage, AK 99504-4322 | 2019-05-11 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in ANCHORAGE | ||||
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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.