Anna L Nicholson, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-17-39054 Issued in IN

Practice address

800 W Woodlawn Ave
Louisville, KY 40215

Phone

(502) 409-7181

Fax

(888) 450-0935

NPI assigned

Jun 7, 2018

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 and National Provider Directory roles.

• Behavior Analysts of Texas, LLC

  • Behavior Analyst
  • Louisville, KY
  • NPI 1922336924
  NPD (past)
• Clinical Behavior Analysis

  • Behavior Analyst
  • Louisville, KY
  • NPI 1821543141
  NPD (past)

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1164915922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W WOODLAWN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152472",
            "telephone_number": "502-409-7181",
            "fax_number": "888-450-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W WOODLAWN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40215",
            "telephone_number": "502-409-7181",
            "fax_number": "888-450-0935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "632 Eastern Blvd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "IN",
            "postal_code": "471292454",
            "country_code": "US",
            "telephone_number": "812-725-9025",
            "fax_number": "317-663-1175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "ANNA",
        "middle_name": "L",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-17-39054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Nichols, M.D.
• Kimberly Nichols
• Meredith Nichols
• Michelle T. Nichols, DMD
• Andrea Nicholson, DO
• Christine M Nicholson, LSW
• Elizabeth Nicholson, MS CCC/SLP
• Ellen Nicholson, PTA
• Jonisha Nicholson, LPCC
• Shana Fishman Nicholson, RN

• Behavior Technician in Louisville, KY
• Providers in Louisville, KY by specialty
• Behavior Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.