NICHOLE BECKHAM (NPI# 1801431911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801431911 |
| Entity Type | Individual |
| Full Name | NICHOLE BECKHAM |
| Other Name | NICHOLE BOCK |
| Credential | RBT |
| Practice Address |
5948 Fisher Rd Ste 202 Fayetteville NC 28304-5751 |
| Practice Telephone | 9805491484 |
| Practice Fax Number | 9107666080 |
| Mailing Telephone | 9805491484 |
| Mailing Fax Number | 9107666080 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-105322 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1016 Issac Dock Dr, Fayetteville, NC 283148425 | 9805491484 | 9107666080 |
| Street Address |
5948 FISHER RD STE 202 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-5751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012270 | Behavior Change Agents LLC | Behavioral Analyst | 5948 Fisher Rd Ste 202, Fayetteville, NC 28304-5751 | 2018-08-09 |
| 1841899515 | Julia C Bradford | Behavior Technician | 5948 Fisher Rd Ste 202, Fayetteville, NC 28304-5751 | 2020-10-22 |
| 1760096374 | Ayana J Baker | Behavior Technician | 5948 Fisher Rd Ste 202, Fayetteville, NC 28304-5751 | 2020-09-01 |
| 1033734603 | Anthony James Preston | Behavioral Analyst | 5948 Fisher Rd Ste 202, Fayetteville, NC 28304-5751 | 2020-06-10 |
| 1841824182 | Jamashia R Ward | Behavior Technician | 5948 Fisher Rd Ste 202, Fayetteville, NC 28304-5751 | 2020-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| 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 |
|---|---|---|---|---|
| 1629675137 | Vera Jacobs | Behavior Technician | 205 White Tail Ct, Fayetteville, GA 30214-4923 | 2020-10-07 |
| 1497361141 | Gita Krishna | Behavior Technician | 351 Wagoner Dr Ste 325, Fayetteville, NC 28303-4674 | 2020-09-18 |
| 1295351070 | Judy Jenkins Alexander | Behavior Technician | 917b Laurel St, Fayetteville, NC 28303-4046 | 2020-06-17 |
| 1467077180 | Kayla Ann Disanti | Behavior Technician | 447 Tradewinds Dr Apt H, Fayetteville, NC 28314-2496 | 2020-06-09 |
| 1164056081 | Khadijah Lurene Bean | Behavior Technician | 3450 Dorado Cir Apt 301, Fayetteville, NC 28304-0635 | 2020-02-29 |
| 1255970745 | Charna Patrice Mcnair | Behavior Technician | 5741 Dobson Dr, Fayetteville, NC 28311-3452 | 2019-12-31 |
| 1730738204 | Tachi Alexis Hogans | Behavior Technician | 1016 Issac Dock Dr, Fayetteville, NC 28314-8425 | 2019-09-08 |
| 1396393427 | Alsha A Moon | Behavior Technician | 5533 Livingston Dr, Fayetteville, NC 28311-1839 | 2019-09-02 |
| 1366991788 | Jintana Cutno Wiggins | Behavior Technician | 2008 Wheeling St, Fayetteville, NC 28303-6330 | 2016-09-27 |
| 1720482904 | Denise Travolina | Behavior Technician | 1541 Laurel Oak Dr, Fayetteville, NC 28314-6221 | 2014-10-16 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.