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Nicholette Anne Hackney , MS, BCBA, LBA

Behavior Analyst β€’ Gilbert, AZ

Active NPI 1912437799 Individual Practitioner Female Practitioner
Practice location in NPPES

971 N Gilbert Rd Ste 101
Gilbert, AZ 852343481

Call 4805598089 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

971 N Gilbert Rd Ste 101

Gilbert, AZ 852343481

Telephone 4805598089
Fax 3175208200
Organization at the Same NPPES Address or Phone
Hopebridge Llc Facility NPI 1003459330

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gilbert and Arizona

160 active clinicians are listed under Behavior Analyst with a practice address in Gilbert, AZ (1,775 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gilbert

0% of these 160 clinicians have the CMS telehealth indicator.

0% of these 160 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-18
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES AZ BEH-001096

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Bcba Certificate
1-20-43072

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location June 18, 2025

Registered at 971 N GILBERT RD STE 101, GILBERT, AZ 852343481 (Tel: 4805598089)

πŸ“
Updated Business Mailing Address June 18, 2025

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

πŸ‘€
Provider Name / Credentials Updated June 18, 2025

Recorded as NICHOLETTE HACKNEY, MS, BCBA, LBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2025

Behavior Analyst (license number reported to NPPES: AZ BEH-001096)

πŸ“
Updated Practice Location August 25, 2021

Registered at 1174 CORNUCOPIA ST NW STE 110, SALEM, OR 973043193 (Tel: 8002734292)

πŸ“
Updated Business Mailing Address August 25, 2021

Registered at 11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 927084007 (Tel: 8002734292)

πŸ‘€
Provider Name / Credentials Updated August 25, 2021

Recorded as NICHOLETTE HACKNEY, BEHVIOR ANALYST

βœ…
NPI Profile Active June 14, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 14, 2017

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803 (Tel: 2482990030)

πŸ“
Business Mailing Address (Initial Record) June 14, 2017

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803

πŸ‘€
Provider Name / Credentials (Initial Record) June 14, 2017

Recorded as NICHOLETTE HACKNEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Technician, Other

🟒
Initial NPI Registration & Enumeration June 14, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912437799
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2017
Last Update: June 18, 2025
Sole Proprietor: No

Mailing Address

3500 Depauw Blvd Ste 3070

Indianapolis, IN 462686135

Phone: 8553240885

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.