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Heather Nicolle , BCBA, LBA

Behavior Analyst β€’ Prince Frederick, MD

Active NPI 1083172209 Individual Practitioner Female Practitioner
Practice location in NPPES

2412 Comptrollers Ct
Prince Frederick, MD 206784340

Call 4432953015 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

2412 Comptrollers Ct

Prince Frederick, MD 206784340

Telephone 4432953015
Organization at the Same NPPES Address or Phone
Platinum Therapeutics Facility NPI 1477293900

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

NPI first issued

2019

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 Prince Frederick and Maryland

4 active clinicians are listed under Behavior Analyst with a practice address in Prince Frederick, MD (1,553 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

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: 2021-11-18
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MD LBA1152

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: Maryland Board of Physicians.
Look Up on State Board Site

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location June 02, 2023

Registered at 2412 COMPTROLLERS CT, PRINCE FREDERICK, MD 206784340 (Tel: 4432953015)

πŸ“
Updated Business Mailing Address June 02, 2023

Registered at 3840 2ND ST, NORTH BEACH, MD 207149733 (Tel: 4433665971)

πŸ‘€
Provider Name / Credentials Updated June 02, 2023

Recorded as HEATHER NICOLLE, BCBA, LBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2023

Behavior Analyst (license number reported to NPPES: MD LBA1152)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2019

Behavior Technician

βœ…
NPI Profile Active March 06, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 06, 2019

Registered at 1010 WAYNE AVE STE 675, SILVER SPRING, MD 209105676 (Tel: 2402921719)

πŸ“
Business Mailing Address (Initial Record) March 06, 2019

Registered at 1010 WAYNE AVE STE 675, SILVER SPRING, MD 209105676

πŸ‘€
Provider Name / Credentials (Initial Record) March 06, 2019

Recorded as HEATHER NICOLLE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2019

Behavior Analyst

🟒
Initial NPI Registration & Enumeration March 06, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083172209
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2019
Last Update: June 02, 2023
Sole Proprietor: No

Mailing Address

3840 2nd St

North Beach, MD 207149733

Phone: 4433665971

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.