Active NPI
Nicole Trimble, M.ED., BCBA, LBS
- Behavior Analyst
- Mechanicsburg, PA
National Provider Identifier
1255997722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-33189
- Practice address
- 200 Bent Creek Blvd
Mechanicsburg, PA 17050-1938 - Phone
- (888) 726-4774
- NPI assigned
- May 10, 2019
- Last updated
- Sep 10, 2022
- 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 | 1-18-33189 | PA | Primary |
Addresses
Primary practice location
200 Bent Creek Blvd
Mechanicsburg, PA 17050-1938
Mailing address
150 Corporate Center Dr
Camp Hill, PA 17011-1759
Phone (888) 726-4774
Other practice location 1
325 N 2nd St
Wormleysburg, PA 17043-1104
Phone (844) 588-4222
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
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Services Group, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Mountville, PA
- NPI 1265426084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662768000000",
"number": "1255997722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CORPORATE CENTER DR",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170111759",
"telephone_number": "888-726-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BENT CREEK BLVD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170501938",
"telephone_number": "888-726-4774"
}
],
"practiceLocations": [
{
"address_1": "325 N 2nd St",
"address_purpose": "LOCATION",
"city": "Wormleysburg",
"state": "PA",
"postal_code": "170431104",
"country_code": "US",
"telephone_number": "844-588-4222",
"fax_number": "717-775-3443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIMBLE",
"first_name": "NICOLE",
"credential": "M.ED., BCBA, LBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-10",
"last_updated": "2022-09-10",
"certification_date": "2022-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "1-18-33189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.