Nicole R Lewis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-219414 Issued in OH

Practice address

7016 Corporate Way
Washington Township, OH 45459-4300

Phone

(937) 951-2084

Fax

(877) 739-5359

NPI assigned

Dec 4, 2020

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

State licenses

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1154926228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 FORSYTHE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454063207",
            "telephone_number": "937-241-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 CORPORATE WAY",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454594300",
            "telephone_number": "937-951-2084",
            "fax_number": "877-739-5359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4530 Forsythe Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454063207",
            "country_code": "US",
            "telephone_number": "937-241-4641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NICOLE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "RBT-22-219414",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Konstand, DOT
• Barbara Jane Krug, LPN
• Kristen R Lacaze
• Karrington Lawson, RBT
• Elijah Lee
• Danielle Lindsey
• Nicole Locascio
• Breanna Lovejoy
• Reese Lytle
• Olivia McCarty

• Behavior Technician in Washington Township, OH
• Providers in Washington Township, OH by specialty
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.