NICOLE LACROSSE (NPI# 1790238442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790238442 |
| Entity Type | Individual |
| Full Name | NICOLE LACROSSE |
| Practice Address |
53 Hayden Rd Augusta ME 04330 |
| Practice Telephone | 2077166616 |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |
| 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 |
| Street Address |
53 HAYDEN RD |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| 1770805434 | Mvh Pharmacy | Pharmacy | 5 Community Drive, Suite 3, Augusta, ME 04330 | 2010-02-23 |
| Find all providers in zip 04330 | ||||
| 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 |
|---|---|---|---|---|
| 1164846499 | 3dk Inc-georgia | Behavioral Analyst | 2903 Galahad, Augusta, GA 30909 | 2014-02-06 |
| 1205268273 | Shawn Bohanan | Behavioral Analyst | 1212 Augusta West Pkwy Ste 1b, Augusta, GA 30909-1808 | 2013-08-01 |
| 1306082169 | Soto Assisted Living Group, Inc. | Behavioral Analyst | 3736 Executive Center Dr, Augusta, GA 30907-2360 | 2008-12-29 |
| 1427683218 | Demarcus Barber | Behavioral Analyst | 1237 Augusta West Pkwy, Augusta, GA 30909-1807 | 2020-03-11 |
| 1790331841 | Able Kids Services LLC | Behavioral Analyst | 3726 Executive Center Dr, Augusta, GA 30907-5011 | 2019-08-14 |
| 1407324890 | Erin Carlisle | Behavioral Analyst | 1237 Augusta West Pkwy, Augusta, GA 30909 | 2018-11-05 |
| 1114412863 | Adam Lee Allen | Behavioral Analyst | 2824 Hillcreek Dr, Augusta, GA 30909 | 2018-06-26 |
| 1710475751 | Shannon Evelyn Blanks | Behavioral Analyst | 1237 Augusta West Pkwy, Augusta, GA 30909-1807 | 2018-04-25 |
| 1467961607 | Aliana Schuyler | Behavioral Analyst | 3736 Executive Center Dr, Augusta, GA 30907 | 2017-09-20 |
| 1689198194 | Pediatric Autism Clinical & Evaluation Services LLC | Behavioral Analyst | 2824 Hillcreek Dr, Augusta, GA 30909-5628 | 2017-07-27 |
| Find all providers in AUGUSTA | ||||
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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.