LAUREN ELIZABETH GONCHAROFF-NICKLE (NPI# 1598308629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598308629 |
| Entity Type | Individual |
| Full Name | LAUREN ELIZABETH GONCHAROFF-NICKLE |
| Practice Address |
6210 75th St W Lakewood WA 98499-8303 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 2533455722 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
6210 75TH ST W |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336211622 | Jolene O'connell | Massage Therapist | 6210 75th St W, Suite A100, Lakewood, WA 98499-8303 | 2006-11-14 |
| 1649829383 | Shannon Smith | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-09-05 |
| 1225686389 | Renee Nicole Becton | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-08-30 |
| 1306306345 | Angela M Roth | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-03-25 |
| 1053885236 | Ojas Abhijit Deshpande | Behavioral Analyst | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-01-21 |
| 1245704154 | Brittany Lauren Ward | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-01-14 |
| 1518459213 | Alexandra Jordan Farren | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2018-05-30 |
| 1487155016 | Sherrie Lynn Smith | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2018-02-28 |
| 1194233734 | Sarah Elizabeth Hill | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2018-01-17 |
| 1427362284 | Sarah R Larson | Specialist | 6210 75th St W, Lakewood, WA 98499-8303 | 2010-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
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| 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] |
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| 1427657303 | Mollie M Sheehan | Behavioral Analyst | 410 Sheridan Blvd, Lakewood, CO 80226-8104 | 2020-10-21 |
| 1124627047 | David Rubinfeld | Behavioral Analyst | 207 1st St Apt 409, Lakewood, NJ 08701-3368 | 2020-10-21 |
| 1265049753 | Leap Therapy Services LLC | Behavioral Analyst | 775a Marlin Ave, Lakewood, NJ 08701-5424 | 2020-09-28 |
| 1831703834 | Rochel Wolofsky | Behavioral Analyst | 122 Williamsburg Ln, Lakewood, NJ 08701-1475 | 2020-09-07 |
| 1437762283 | Star Track Healthcare Services LLC | Behavioral Analyst | 236 Ridge Ave, Lakewood, NJ 08701-3448 | 2020-08-30 |
| 1073124897 | Attain Aba Mw LLC | Behavioral Analyst | 850 Towbin Ave, Lakewood, NJ 08701-5928 | 2020-08-14 |
| 1760090948 | Devorah Weinberg | Behavioral Analyst | 34 Sherie Ct, Lakewood, NJ 08701-1573 | 2020-07-14 |
| 1104443241 | Interact Therapy Services, LLC | Behavioral Analyst | 665 Princeton Ave Apt 201, Lakewood, NJ 08701-2899 | 2020-07-05 |
| 1174145734 | Teamcare Therapy LLC | Behavioral Analyst | 1771 Madison Ave Ste 8, Lakewood, NJ 08701-1267 | 2020-05-17 |
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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.