Active NPI
Ronneesha Nichols
- Behavior Analyst
- Daytona Beach Shores, FL
National Provider Identifier
1255851762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3408 S Atlantic Ave
Daytona Beach Shores, FL 32118-6311 - Phone
- (386) 767-3752
- Fax
- (386) 767-4319
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
3408 S Atlantic Ave
Daytona Beach Shores, FL 32118-6311
Mailing address
3408 S Atlantic Ave
Daytona Beach Shores, FL 32118-6311
Phone (386) 767-3752
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1255851762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3408 S ATLANTIC AVE",
"city": "DAYTONA BEACH SHORES",
"state": "FL",
"postal_code": "321186311",
"telephone_number": "386-767-3752",
"fax_number": "386-767-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3408 S ATLANTIC AVE",
"city": "DAYTONA BEACH SHORES",
"state": "FL",
"postal_code": "321186311",
"telephone_number": "386-767-3752",
"fax_number": "386-767-4319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "RONNEESHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.