NICOLE DAWN GREEN (NPI# 1740893478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740893478 |
| Entity Type | Individual |
| Full Name | NICOLE DAWN GREEN |
| Practice Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 8666100580 |
| Mailing Telephone | 8666100580 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| 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 |
|---|---|---|---|---|
| 1053926618 | Nicole Camille Green | Counselor | 33 Arthur Ave Apt 20, East Providence, RI 02914-4020 | 2020-09-10 |
| 1902259328 | Nicole Green | Contractor | 2985 Juniper Hills Blvd Unit 202, Las Vegas, NV 89142-2961 | 2016-07-20 |
| 1548638869 | Nicole Hoff Green | Nurse Practitioner | 2989 Caledonia St, Marianna, FL 32446-3005 | 2015-09-02 |
| 1083002430 | Nicole Renee Green | Veterinarian | 14370 Parallel Rd, Basehor, KS 66007-3004 | 2015-01-07 |
| 1891115531 | Nicole Cara Green | Counselor | 9950 Sw Landau Pl, Tigard, OR 97223-1013 | 2014-04-21 |
| 1174144273 | Nicole Green | Pharmacist | 333 N Green Bay Rd, Neenah, WI 54956-1954 | 2020-04-29 |
| 1053873786 | Nicole E Green | Physician Assistant | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2019-04-02 |
| 1932628880 | Nicole A Green | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2017-09-12 |
| 1043736101 | Nicole Rene Green | Occupational Therapist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2017-08-20 |
| 1508399684 | Nicole Green | Student in an Organized Health Care Education/Training Program | 13001 E. 17th Place, University of Colorado School of Medicine Gme, Aurora, CO 80045-2581 | 2017-04-06 |
| Street Address |
300 INTERNATIONAL PKWY STE 200 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184080988 | Brittany Monington | Behavioral Analyst | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2016-01-08 |
| 1912506494 | Cynareata Martin | Behavior Technician | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-10-26 |
| 1295334662 | Sabrina Zanghi | Behavior Technician | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-10-18 |
| 1558968222 | April S Autery | Behavior Technician | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-10-06 |
| 1588277370 | Minal Gandhi | Behavior Technician | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-08-31 |
| 1710590419 | Ajia Alexis Bell | Behavior Technician | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-08-24 |
| 1013520675 | Andricka Nicole Parker | Behavior Technician | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-08-24 |
| 1598378119 | Jean Marc Colin | Behavior Technician | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-08-24 |
| 1679182406 | Laura Cordes | Behavior Technician | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-07-28 |
| 1497364384 | Samantha Kavanaugh | Behavior Technician | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| 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 |
|---|---|---|---|---|
| 1710586102 | Holleigh Lynette Walker | Behavior Technician | 300 International Parkway Suite 200, 300 International Parkway Suite 200, Lake Mary, FL 32746-3625 | 2020-10-18 |
| 1407473424 | Yesenia Hernandez | Behavior Technician | 3451 W Lake Mary Blvd, Lake Mary, FL 32795 | 2020-06-26 |
| 1902422090 | Eric Dustin Brisbon | Behavior Technician | 200 Waymont Ct Ste 122, Lake Mary, FL 32746-3413 | 2020-06-24 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1982238424 | Didem Hacioglu | Behavior Technician | 791 Rinehart Rd # 4856, Lake Mary, FL 32746-4876 | 2020-02-24 |
| 1336770254 | Leslie Ann Rodriguez | Behavior Technician | 300 International Pkwy Ste 20, Lake Mary, FL 32746-5035 | 2020-01-29 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1750847463 | Thomas Dylan Butler | Behavior Technician | 3415 W Lake Mary Blvd # 4045, Lake Mary, FL 32795-7501 | 2019-02-18 |
| 1811403843 | Jason Lief | Behavior Technician | 108 Wagon Wheel Way, Lake Mary, FL 32746-3906 | 2017-12-28 |
| 1174043475 | Kimberly Ann Tabachka | Behavior Technician | 255 Primera Boulevard, Suite 160b, Lake Mary, FL 32746 | 2017-06-27 |
| Find all providers in LAKE MARY | ||||
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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.