NICOLE BLACK (NPI# 1801175773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801175773 |
| Entity Type | Individual |
| Full Name | NICOLE BLACK |
| Practice Address |
1085 Maple St Farmington MO 63640-1955 |
| Practice Telephone | 5737565353 |
| Practice Fax Number | 5737564557 |
| Mailing Telephone | 5737565353 |
| Mailing Fax Number | 5737564557 |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |
| 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 |
|---|---|---|---|---|
| 1043874910 | Nicole Black | Physician Assistant | 5670 Peachtree Dunwoody Rd Ste 1281, Atlanta, GA 30342-1699 | 2019-04-26 |
| 1497220677 | Nicole Marie Black | Counselor | 232 2nd Ave S Ste 201, Kent, WA 98032-5862 | 2018-10-03 |
| 1912446469 | Nicole Black | Occupational Therapy Assistant | 551 S Higley Rd, Mesa, AZ 85206-2148 | 2017-02-16 |
| 1477935351 | Nicole Black | Counselor | 3805 22nd St, Suite 1c, Lubbock, TX 79410-1142 | 2015-06-26 |
| 1417208661 | Nicole Black | Speech-Language Pathologist | 19307 E Cataldo Ave, Spokane Valley, WA 99016-9489 | 2012-09-27 |
| 1215055033 | Nicole A Black | Midwife | 1508 W 7th St, Wilmington, DE 19805-3110 | 2007-03-27 |
| 1588734446 | Nicole Renee Black | Counselor | 1230 N Duquesne Rd, Joplin, MO 64801-1509 | 2006-11-08 |
| Street Address |
1085 MAPLE ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730193848 | Jennifer Lynn Beard | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2006-07-27 |
| 1710585716 | Sheri Lynn Ketcherside | Specialist | 1085 Maple St, Farmington, MO 63640-1955 | 2020-10-12 |
| 1821603887 | Ronni Kay Dubois | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2020-09-15 |
| 1306451372 | Melissa Gail Parson | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2020-09-15 |
| 1043825912 | Kayla Luber | Behavior Technician | 1085 Maple St, Farmington, MO 63640-1955 | 2020-09-08 |
| 1912521030 | Adam Feltes | Behavioral Analyst | 1085 Maple St, Farmington, MO 63640-1955 | 2020-06-04 |
| 1841824125 | Benjamin Carl Wilson | Case Manager/Care Coordinator | 1085 Maple St, Farmington, MO 63640-1955 | 2020-02-26 |
| 1285268482 | Jockese Martin | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2020-02-26 |
| 1528607991 | Felecia Elders | Technician, Other | 1085 Maple St, Farmington, MO 63640-1955 | 2020-01-02 |
| 1033758404 | Jeannie Bray | Technician, Other | 1085 Maple St, Farmington, MO 63640-1955 | 2020-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| 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 |
|---|---|---|---|---|
| 1588274187 | Emily Watson | Behavioral Analyst | 507 Hornetown Rd, Farmington, NH 03835-4020 | 2020-08-07 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1073132650 | Aaron Beauford | Behavioral Analyst | 61 County Road 5590, Farmington, NM 87401-1456 | 2020-04-13 |
| 1225545155 | Kristen Weglarz | Behavioral Analyst | 1 Montieth Dr, Farmington, CT 06032-1082 | 2017-12-31 |
| 1396267464 | Chelsea Epling | Behavioral Analyst | 230 Farmington Ave Ste 12, Farmington, CT 06032-1916 | 2017-07-11 |
| 1841674942 | Stephen Oleson | Behavioral Analyst | 21594 Birchwood St, Farmington, MI 48336-4502 | 2015-07-17 |
| 1619223112 | Meaghan Leathem Damato | Behavioral Analyst | 3 Tunxis St, Farmington, CT 06032-2813 | 2012-08-02 |
| 1316215551 | Joann Nicole Martinez | Behavioral Analyst | 1001 W. Broadway Ste D, Farmington, NM 87401 | 2011-12-02 |
| 1588942023 | Ingo Bergsteinsson | Behavioral Analyst | 42 Mountain Rd, Farmington, CT 06032-2341 | 2011-08-02 |
| 1164733226 | Emma J Benally | Behavioral Analyst | 1001 W, Broadway, Farmington, NM 87401 | 2010-06-23 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on NICOLE BLACK.
| 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.