Shaquita Nibblins

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24362785 Issued in MD

Practice address

11350 Pembrooke SQ Ste 313
Waldorf, MD 20603-4809

Phone

(202) 355-3839

NPI assigned

Jul 23, 2024

Last updated

Jul 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Her Behavioral Health L.L.C.

  • Behavior Analyst
  • Clinton, MD
  • NPI 1205796844
  NPD Authorized official

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1063240836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 PEMBROOKE SQ STE 313",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034809",
            "telephone_number": "202-355-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 PEMBROOKE SQ STE 313",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034809",
            "telephone_number": "202-355-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIBBLINS",
        "first_name": "SHAQUITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-24362785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernice Chiamaka Ngere, RN
• Anh Bao Nguyen, PHARMD
• Huong Nguyen, RD, CPT
• Maianh Nguyen, DMD
• Mirabel Ntube Ngwese
• Karen Nicholson
• Nicola Clarke Wallen LLC (Atlas Behavioral Health Services)
• Nicole R. Moffett OD PA
• Niki LLC (High St Discount Pharmacy)
• Niki LLC (High St Discount Pharmacy)

• Behavior Technician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.