NICOLE BOUCHER (NPI# 1548511785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548511785 |
| Entity Type | Individual |
| Full Name | NICOLE BOUCHER |
| Practice Address |
72 Jacques Ave Worcester MA 01610 |
| Practice Telephone | 5084214453 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649724469 | Nicole Boucher | Physical Therapist | 24 E Chicago Ave, Chicago, IL 60611 | 2016-08-10 |
| 1225317035 | Nicole Boucher | Counselor | 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 | 2011-08-10 |
| 1659674182 | Nicole Lynn Boucher | Nurse Practitioner | 136 Kissane Ave, Suite A, Brighton, MI 48116-2467 | 2010-12-05 |
| 1053530345 | Nicole Renae Boucher | Speech-Language Pathologist | 1702 University Dr S, Fargo, ND 58103-4940 | 2007-04-25 |
| 1093854903 | Nicole Marie Boucher | Counselor | 185 Main Street, Suite 22, Spencer, MA 01562 | 2007-02-06 |
| Street Address |
72 JACQUES AVE |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740431592 | Anne Marie Farmer | Counselor | 72 Jacques Ave, Worcester, MA 01610-2476 | 2008-10-09 |
| 1346885472 | Ashley Mcpherson | Registered Nurse | 72 Jacques Ave, Worcester, MA 01610-2476 | 2019-11-13 |
| 1437694031 | Virginia Gomez | Registered Nurse | 72 Jacques Ave, Health Home Department, Worcester, MA 01610 | 2017-01-05 |
| 1558806927 | Julie Miller | Registered Nurse | 72 Jacques Ave, Worcester, MA 01610-2476 | 2016-12-21 |
| 1477909836 | Stephen Bunting | Registered Nurse | 72 Jacques Ave, Worcester, MA 01610 | 2016-05-04 |
| 1700215647 | Sharon Kelley | Student in an Organized Health Care Education/Training Program | 72 Jacques Ave, Worcester, MA 01610-2476 | 2013-11-01 |
| 1891091310 | Tiffany Groover | Internal Medicine | 72 Jacques Ave, Worcester, MA 01610-2476 | 2011-01-31 |
| 1104070564 | Community Health Link | Clinic/Center | 72 Jacques Ave, Worcester, MA 01610-2476 | 2008-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| 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 |
|---|---|---|---|---|
| 1730788753 | Catherine Mumbi | Behavioral Analyst | 65 James St Ste 205, Worcester, MA 01603-1036 | 2020-10-21 |
| 1457983660 | Richard Quarshie Jr. | Behavioral Analyst | 62 Prouty Ln, Worcester, MA 01602-2253 | 2020-02-05 |
| 1629638432 | Daniel Henrickson | Behavioral Analyst | 22 Falcon St, Worcester, MA 01603-1104 | 2019-06-14 |
| 1275191835 | Mamudu Dennis | Behavioral Analyst | 3 N Woodford St, Worcester, MA 01604-4531 | 2019-05-30 |
| 1912465782 | Autism Family Consultants LLC | Behavioral Analyst | 35 Wall St Apt C, Worcester, MA 01604-3746 | 2019-03-11 |
| 1578049300 | Rosy Reynoso | Behavioral Analyst | 93 Mayfield St, Worcester, MA 01602-3427 | 2018-07-15 |
| 1023507902 | Sean R Daly | Behavioral Analyst | 15 Jamesbury Dr, Worcester, MA 01609-1201 | 2018-05-06 |
| 1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
| 1639671381 | Autism Applied Consultants LLC | Behavioral Analyst | 86 Middlesex Ave, Worcester, MA 01604-1969 | 2018-03-07 |
| 1144722216 | Jaylin Ariana Abreu | Behavioral Analyst | 7 Montrose St, Worcester, MA 01610-2107 | 2018-03-05 |
| Find all providers in WORCESTER | ||||
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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.