Active NPIIndividual providerSole proprietor

Nicole Nichols, RBT

Behavior Technician in Mattapan, Massachusetts

NPI Number1033830682
Practice location
1317 Blue Hill Ave Unit 1, Mattapan, MA 02126-1949
Fax
—
Last updated
September 12, 2022

Nicole Nichols is a Behavior Technician based in Mattapan, MA. Nicole Nichols practices in Mattapan, MA and has the professional credentials of RBT. The NPI Number for Nicole Nichols is 1033830682 and holds a License No. RBT-22-228525 (MA). The current practice location address for Nicole Nichols is 1317 Blue Hill Ave Unit 1, Mattapan, MA 02126-1949 and can be reached out via phone at 857-719-2686.

Provider Profile Details

NPI Number
1033830682
Provider Name
Nicole Nichols
Credential
RBT
Provider Entity Type
Individual
Gender
Female
Address
1317 Blue Hill Ave Unit 1, Mattapan, MA 02126-1949
Phone Number
857-719-2686
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 12, 2022
Last Update Date
September 12, 2022
Certification Date
September 10, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1317 Blue Hill Ave Unit 1
Mattapan, MA 02126-1949
Zip
02126-1949
Phone Number
857-719-2686
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
1317 Blue Hill Ave Unit 1
Mattapan, MA 02126-1949
City
Mattapan
State
MA
Zip
02126-1949
Phone Number
857-719-2686

License Information

License Number
RBT-22-228525
License State
MA
Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole Nichols, RBT?

The NPI number of Nicole Nichols, RBT is 1033830682. It was assigned on September 12, 2022 and is currently active in the NPPES registry.

What is the specialty of Nicole Nichols, RBT?

Nicole Nichols, RBT is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in MA under license number RBT-22-228525.

Where does Nicole Nichols, RBT practice?

The practice location is 1317 Blue Hill Ave Unit 1, Mattapan, MA 02126-1949. The office can be reached at 857-719-2686 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033830682 directly on the NPPES registry website.

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