NICOLE MARIE TICE (NPI# 1922632827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922632827 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE TICE |
| Practice Address |
3260 Hospital Dr Juneau AK 99801-7808 |
| Practice Telephone | 9077968498 |
| Mailing Telephone | 9077968498 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| 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 |
| Street Address |
3260 HOSPITAL DR |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-7808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778290 | Steven T Strickler | Radiology | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2005-05-27 |
| 1649886516 | Shalis Stinson | Registered Nurse | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2020-09-16 |
| 1316562523 | Sarah Zaglifa | Social Worker | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2020-06-12 |
| 1003439704 | Cailey Ann Neary | Registered Nurse | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2020-05-28 |
| 1477187375 | Lurline Aliki | Behavior Technician | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2020-02-28 |
| 1619512555 | Dorothy Lynn Squires | Counselor | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-11-14 |
| 1508400896 | Brandon Kay Eubanks | Counselor | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-10-30 |
| 1720620180 | Dolores White | Psychiatric Unit | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-10-16 |
| 1114569829 | Anna Bullock | Social Worker | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-10-14 |
| 1457901167 | David Voth | Behavior Technician | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| 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 |
|---|---|---|---|---|
| 1801434055 | Colin Marquis | Behavior Technician | 19295 Randall Rd, Juneau, AK 99801-8209 | 2019-12-18 |
| 1558905679 | Montanna Rae Requa | Behavior Technician | 4511 Chelsea Ct, Juneau, AK 99801-7309 | 2019-10-31 |
| 1124660584 | Larry D Cooper Jr. | Behavior Technician | 3252 Hospital Dr, Juneau, AK 99801-7808 | 2019-10-16 |
| 1871134510 | Jessica Dean | Behavior Technician | 17200 Point Lena Loop Road, Juneau, AK 99801 | 2019-10-03 |
| 1023591898 | Elizabeth Christine Streeter-zenk | Behavior Technician | 11027 Mendenhall Loop Rd, Juneau, AK 99801-8602 | 2018-09-07 |
| 1659874774 | Craig A Cocoros | Behavior Technician | 1046 Salmon Creek Lane, Juneau, AK 99801 | 2018-03-15 |
| 1720694375 | Steven Lawrence Anderson | Behavior Technician | 3250 Hospital Dr, Juneau, AK 99801-7808 | 2020-09-18 |
| 1477187375 | Lurline Aliki | Behavior Technician | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2020-02-28 |
| 1144867862 | Carol Jean Whelan | Behavior Technician | 3250 Hospital Dr, Juneau, AK 99801-7808 | 2019-12-02 |
| 1891339461 | Danica Ann Paguio | Behavior Technician | 3250 Hospital Dr, Juneau, AK 99801-7808 | 2019-11-06 |
| Find all providers in JUNEAU | ||||
Please comment or provide details below to improve the information on NICOLE MARIE TICE.
| 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.