Nicole Hargan
Individual provider Active NPI Behavior Technician · Radnor, PA
NPI 1225769151 · NPPES record last updated Jun 21, 2022
Key facts
- NPI
- 1225769151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 201 King of Prussia Rd
Radnor, PA 19087-5147 - Phone
- (855) 581-0100
- NPI assigned
- Jun 21, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
201 King of Prussia Rd
Radnor, PA 19087-5147
Mailing address
2080 N Tustin Ave Ste B
Santa Ana, CA 92705-7875
Phone (855) 581-0100
NPI Registry JSON
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1225769151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 N TUSTIN AVE STE B",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927057875",
"telephone_number": "855-581-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 KING OF PRUSSIA RD",
"city": "RADNOR",
"state": "PA",
"postal_code": "190875147",
"telephone_number": "855-581-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGAN",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-21",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Radnor, PA
- Brian Griffin
- Roslyn Grossinger
- Julie Ann Guido
- Zachary Hackett
- Jessica Hansford
- Jonathan J Harold
- Diane L. Hayes
- Meaghan Henrici
- Barry Keith Herman
- Janice K Hillman
All providers in Radnor, PA · Behavior Technician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.