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Nikole Donelon Mccoy , BCBA

Behavior Analyst β€’ Fullerton, CA

Active NPI 1023504586 Individual Practitioner Female Practitioner
Practice location in NPPES

713 W Commonwealth Ave
Fullerton, CA 928321612

Call 7148794274 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

713 W Commonwealth Ave

Fullerton, CA 928321612

Telephone 7148794274
Fax 7148792274
Organization at the Same NPPES Address or Phone
Jazstrom, Inc Facility NPI 1912220104

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

NPI first issued

2018

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 Fullerton and California

70 active clinicians are listed under Behavior Analyst with a practice address in Fullerton, CA (20,363 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fullerton

0% of these 70 clinicians have the CMS telehealth indicator.

0% of these 70 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: 2023-07-27
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CA 1-18-31039

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: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location July 27, 2023

Registered at 713 W COMMONWEALTH AVE, FULLERTON, CA 928321612 (Tel: 7148794274)

πŸ‘€
Provider Name / Credentials Updated July 27, 2023

Recorded as NIKOLE MCCOY, BCBA

βœ…
NPI Profile Active July 09, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 09, 2018

Registered at 4839 PIMENTA AVE, LAKEWOOD, CA 907123520 (Tel: 5626881487)

πŸ“
Business Mailing Address (Initial Record) July 09, 2018

Registered at 4839 PIMENTA AVE, LAKEWOOD, CA 907123520 (Tel: 5626881487)

πŸ‘€
Provider Name / Credentials (Initial Record) July 09, 2018

Recorded as NIKOLE SIEMENSMA, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2018

Behavior Analyst (license number reported to NPPES: CA 1-18-31039)

🟒
Initial NPI Registration & Enumeration July 09, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023504586
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2018
Last Update: July 27, 2023
Sole Proprietor: Yes

Mailing Address

4839 Pimenta Ave

Lakewood, CA 907123520

Phone: 5626881487

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.