NICOLE C ELLIS (NPI# 1568078665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568078665 |
| Entity Type | Individual |
| Full Name | NICOLE C ELLIS |
| Practice Address |
225 Cedar Hill St Ste 200 Marlborough MA 01752-5900 |
| Practice Telephone | 7572956328 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| 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 |
|---|---|---|---|---|
| 1053633669 | Nicole Ellis | Counselor | 1951 Alamanda Ct, Navarre, FL 32566-7658 | 2010-02-23 |
| 1679707871 | Nicole Alexandria Ellis | Acupuncturist | 2809 Rockefeller Ave Ste A, Everett, WA 98201-3541 | 2009-05-04 |
| 1164580106 | Nicole Renee Ellis | Counselor | 108 Christine Way, Elizabethtown, KY 42701-9681 | 2006-12-04 |
| 1013548478 | Nicole Ellis | Occupational Therapy Assistant | 2868 Beltagh Avenue, Bellmore, NY 11710 | 2020-02-03 |
| 1720632995 | Nicole Ellis | Speech-Language Pathologist | 11030 Raven Ridge Rd Ste 101, Raleigh, NC 27614-8512 | 2019-07-26 |
| 1023467966 | Nicole Ellis | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2016-06-10 |
| 1710335237 | Nicole Grace Ellis | Physical Therapist | 7055 High Grove Blvd, Burr Ridge, IL 60527-7628 | 2016-05-25 |
| 1467850453 | Nicole Ellis | Case Management | 1330 N Classen Blvd, Suite 302, Oklahoma City, OK 73106-6835 | 2014-12-08 |
| 1861812877 | Nicole Ellis | Counselor | 545 Laurel St, San Diego, CA 92101-1634 | 2014-04-17 |
| 1134443120 | Nicole Anne Ellis | Speech-Language Pathologist | 105 Victory Rd, Dorchester, MA 02122-3518 | 2010-03-18 |
| Street Address |
225 CEDAR HILL ST STE 200 |
| City | MARLBOROUGH |
| State | MA |
| Zip Code | 01752-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811213259 | Ashley Nicole Camden | Behavioral Analyst | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2010-04-09 |
| 1700487444 | Jennifer Polanco De Los Santos | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-07 |
| 1831790658 | Henrietta Tiah | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-06 |
| 1205437035 | Glennish Barrientos | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-06 |
| 1437750353 | Irene Sampson | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-06 |
| 1861093924 | Siomara Yamileth Fuentes | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-05 |
| 1831790047 | Julia Paynter | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-04 |
| 1548861792 | Katyna Knapton | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-04 |
| 1750982930 | Jenna Bard | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-04 |
| 1497356505 | Jaclyn Tessier | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
| 1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
| 1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
| 1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
| 1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
| 1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
| 1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
| 1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
| 1780190728 | Rachel Castleberry | Counselor | Advocates, 340 Maple Street 4th Floor, Marlborough, MA 01752 | 2017-12-28 |
| Find all providers in zip 01752 | ||||
| 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 |
|---|---|---|---|---|
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1265044374 | Arianna Alexandra Azadzoi | Behavior Technician | 48 Fitchburg St, Marlborough, MA 01752-1262 | 2020-08-19 |
| 1013526755 | Karen Marie Ercole | Behavior Technician | 225 Cedar Hill St Ste 200225, Marlborough, MA 01752-5900 | 2020-07-29 |
| 1003433624 | Alexa Fearing | Behavior Technician | 39 Austen Way Apt 12d, Marlborough, MA 01752-4755 | 2020-06-30 |
| 1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
| 1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
| 1649810037 | Kelsie Alyse Turner | Behavior Technician | 42 Briarwood Ln Apt 8, Marlborough, MA 01752-2520 | 2020-01-14 |
| 1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
| 1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
| 1700487444 | Jennifer Polanco De Los Santos | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-11-07 |
| Find all providers in MARLBOROUGH | ||||
| City | MARLBOROUGH |
| Zip Code | 01752 |
Please comment or provide details below to improve the information on NICOLE C ELLIS.
| 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.