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Nicole Phillips , BCBA

Behavior Analyst β€’ Sunrise, FL

Active NPI 1508364019 Individual Practitioner Female Practitioner
Practice location in NPPES

8053 West Oakland Park Blvd, Suite 950
Sunrise, FL 333517776

Call 7544222165 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

8053 West Oakland Park Blvd
Suite 950

Sunrise, FL 333517776

Telephone 7544222165
Organization at the Same NPPES Address or Phone
Fundamental Aba Therapy,llc Facility NPI 1609463298

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 Sunrise and Florida

69 active clinicians are listed under Behavior Analyst with a practice address in Sunrise, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Sunrise

0% of these 69 clinicians have the CMS telehealth indicator.

0% of these 69 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: 2021-02-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 12044065

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: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

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

16 Historical Events
πŸ“
Updated Practice Location November 28, 2022

Registered at 8053 WEST OAKLAND PARK BLVD, SUITE 950, SUNRISE, FL 333517776 (Tel: 7544222165)

πŸ“
Updated Business Mailing Address November 28, 2022

Registered at 8053 W OAKLAND PARK BLVD STE 950, SUNRISE, FL 333511162 (Tel: 7544222165)

πŸ‘€
Provider Name / Credentials Updated November 28, 2022

Recorded as NICOLE PHILLIPS, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2022

Behavior Analyst (license number reported to NPPES: FL 12044065)

πŸ“
Updated Business Mailing Address December 29, 2020

Registered at 5529 NW 90TH AVE, SUNRISE, FL 333517776 (Tel: 7544222165)

πŸ“
Updated Practice Location September 24, 2020

Registered at 2131 HOLLYWOOD BLVD, HOLLYWOOD FL 33020, HOLLYWOOD, FL 333513335 (Tel: 7544222165)

πŸ“
Updated Business Mailing Address September 24, 2020

Registered at 2131 HOLLYWOOD BLVD, HOLLYWOOD, FL 330206759 (Tel: 7544222165)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2020

Behavior Analyst

πŸ”„
NPI Profile Reactivated September 09, 2020

Record officially reactivated for active practice on September 09, 2020

βœ…
NPI Profile Active September 09, 2020

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location September 09, 2020

Registered at 911 E ATLANTIC BLVD, POMPANO BEACH, FL 330607372 (Tel: 9549412323)

πŸ“
Updated Business Mailing Address September 09, 2020

Registered at 5529 NW 90TH AVE, SUNRISE, FL 333517776 (Tel: 9548257585)

πŸ‘€
Provider Name / Credentials Updated September 09, 2020

Recorded as NICOLE PHILLIPS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2020

Behavior Technician

⚠️
NPI Profile Deactivated January 30, 2018

NPPES lists this NPI as deactivated as of January 30, 2018; the reason is not published.

🟒
Initial NPI Registration & Enumeration January 30, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508364019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2018
Last Update: November 28, 2022
Sole Proprietor: Yes

Mailing Address

8053 W Oakland Park Blvd Ste 950

Sunrise, FL 333511162

Phone: 7544222165

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.