Active NPI
Nicolas Fowler
- Behavior Technician
- Beavercreek, OH
National Provider Identifier
1124861216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2522 Nutter Park Dr
Beavercreek, OH 45434-3500 - Phone
- (859) 282-0400
- NPI assigned
- Jun 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2522 Nutter Park Dr
Beavercreek, OH 45434-3500
Mailing address
800 Riviera Dr
Lawrenceburg, IN 47025-2063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Solutions Behavior Group LLC | Current | Accepting new patients |
Locations
2522 Nutter Park Dr
Dayton, OH 45434
Phone (859) 282-0400
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Beavercreek, OH
- NPI 1629499793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1124861216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 RIVIERA DR",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "470252063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2522 NUTTER PARK DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454343500",
"telephone_number": "859-282-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "NICOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.