Nicole McCluskey

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-52598 Issued in NJ

Practice address

88 Berlin Rd
Gibbsboro, NJ 08026

Phone

(856) 739-1013

NPI assigned

Feb 6, 2018

Last updated

May 20, 2022By 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

Other names 1

• Nicole Thom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Lasting Behavioral Solutions, LLC

  • Behavior Analyst
  • Gibbsboro, NJ
  • NPI 1053059089
  NPD Authorized official

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1124527056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 SHOEMAKER RD STE 230",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064201",
            "telephone_number": "484-681-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BERLIN RD",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "08026",
            "telephone_number": "856-739-1013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 Old Cuthbert Rd",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080341415",
            "country_code": "US",
            "telephone_number": "484-681-2170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 Woodlane Rd",
            "address_purpose": "LOCATION",
            "city": "Westampton",
            "state": "NJ",
            "postal_code": "080603804",
            "country_code": "US",
            "telephone_number": "609-267-5928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLUSKEY",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-21-52598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "THOM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arlene K. Licata, M.A.
• Debra Sue Malley, MD
• Rosemarie Manes, LMFT
• Hailei Markee
• Michael Massoud, DMD
• Marisa Darema Melchiorre, M.S., CCC-SLP
• Giordanne Melgar, PHARMD
• Midatlantic Diagnostic Services PC
• Ai Nakatsuka, MT-BC
• Anthony F Napoli Jr., MD

• Behavior Analyst in Gibbsboro, NJ
• Providers in Gibbsboro, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.