Nicolette Fleck

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3830 Washington Rd
Martinez, GA 30907-5064

Phone

(762) 222-7629

NPI assigned

Dec 3, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1003453689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO PIKE STE 702",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172679",
            "telephone_number": "615-361-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 WASHINGTON RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075064",
            "telephone_number": "762-222-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECK",
        "first_name": "NICOLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fenixx in Flow
• Tiffany Few
• Caroline Fickling, OTR/L
• First Focus Faith, LLC
• David Robert Charles Fisher, D.O.
• Sherry Fleming, R.N., PH.D.
• Breante' Flournoy
• Sherita Latoya Flournoy, PHARM D
• Elizabeth Forbes
• Adrianna Foreman

• Behavior Analyst in Martinez, GA
• Providers in Martinez, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.