NICOLE FAUTEUX (NPI# 1942797642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942797642 |
| Entity Type | Individual |
| Full Name | NICOLE FAUTEUX |
| Credential | RBT |
| Practice Address |
10686 Crestwood Dr Manassas VA 20109-4407 |
| Practice Telephone | 7033926166 |
| Practice Fax Number | 7033926127 |
| Mailing Telephone | 7033926166 |
| Mailing Fax Number | 7033926127 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-53623 | VA | Behavioral Health & Social Service Providers |
| Street Address |
10686 CRESTWOOD DR |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235381633 | Leap Ahead, Inc. | Early Intervention Provider Agency | 10686 Crestwood Dr, Suite B, Manassas, VA 20109-4407 | 2008-10-16 |
| 1922577121 | Taylor Miller | Behavior Technician | 10686 Crestwood Dr, Manassas, VA 20109-4407 | 2018-11-16 |
| 1174099204 | Kimberly Robertson | Behavior Technician | 10686 Crestwood Dr, Manassas, VA 20109-4407 | 2018-10-16 |
| 1215431812 | Nicole Rattigan | Behavior Technician | 10686 Crestwood Dr, Manassas, VA 20109-4407 | 2018-03-20 |
| 1609374818 | Tariana Moore | Behavior Technician | 10686 Crestwood Dr, Manassas, VA 20109-4407 | 2018-01-23 |
| 1730696147 | Meghan Herr | Behavioral Analyst | 10686 Crestwood Dr, Manassas, VA 20109-4407 | 2018-01-08 |
| 1528572294 | Isma Coleman | Behavior Technician | 10686 Crestwood Dr, Manassas, VA 20109-4407 | 2017-11-16 |
| 1972013092 | Lindsey Mccready | Behavior Technician | 10686 Crestwood Dr, Manassas, VA 20109-4407 | 2017-10-03 |
| 1689195240 | Jessica Eleanor Taylor | Behavioral Analyst | 10686 Crestwood Dr, Manassas, VA 20109 | 2017-07-04 |
| 1669881793 | Tiffany Polifko | Behavioral Analyst | 10686 Crestwood Dr, Suites A and B, Manassas, VA 20109-4407 | 2014-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| 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 |
|---|---|---|---|---|
| 1467061242 | Jennifer Ruth Stevens | Behavior Technician | 9808 Shallow Creek Loop Apt 102, Manassas, VA 20109-5336 | 2020-07-28 |
| 1205454568 | Brenda C Castellanos | Behavior Technician | 8836 Lane Scott Ct, Manassas, VA 20110-7057 | 2020-07-13 |
| 1114546520 | Khalil Richardson | Behavior Technician | 8509 Barrett Dr, Manassas, VA 20109-3509 | 2020-04-15 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1801371844 | Brinda Kharel | Behavior Technician | 8615 Walcott Ct, Manassas, VA 20111-2136 | 2018-09-26 |
| 1720561848 | Mary Mozingo | Behavior Technician | 7653 Callan Dr, Manassas, VA 20109-2901 | 2018-09-13 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1811405194 | Briana Joceleen Johnson | Behavior Technician | 10372 Battleview Pkwy, Manassas, VA 20109-2338 | 2018-01-20 |
| 1417496712 | Shealyn Clinger | Behavior Technician | 9000 Forestview Dr, Manassas, VA 20112-3336 | 2017-02-20 |
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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.