Individual provider Active NPI

Nicole Zygmont, M.ED., LBS

  • Behavior Analyst
  • Glenside, PA
National Provider Identifier
1427652478
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH004857 Issued in PA
Practice address
654 N Easton Rd
Glenside, PA 19038-4310
Phone
(844) 966-0703
NPI assigned
Nov 30, 2020
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH004857 PA Primary

Addresses

Primary practice location

654 N Easton Rd
Glenside, PA 19038-4310

Mailing address

7002 W Butler Pike FL 1
Ambler, PA 19002-5107
Phone (215) 285-3688

Other practice location 1

7002 W Butler Pike Fl 1
Ambler, PA 19002-5107
Phone (215) 285-3688

Other names 1

  • Nicole Herbert Former name

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

State licenses

LicenseStateTypeSpecialty
BH004857PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Connections, Inc PastSince Jul 24, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1427652478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 W BUTLER PIKE FL 1",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025107",
            "telephone_number": "215-285-3688",
            "fax_number": "844-966-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 N EASTON RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384310",
            "telephone_number": "844-966-0703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7002 W Butler Pike Fl 1",
            "address_purpose": "LOCATION",
            "city": "Ambler",
            "state": "PA",
            "postal_code": "190025107",
            "country_code": "US",
            "telephone_number": "215-285-3688",
            "fax_number": "844-966-0703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZYGMONT",
        "first_name": "NICOLE",
        "credential": "M.ED., LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH004857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HERBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenside, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.