Nichole Brooke Stewart, B.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7833 Issued in MD

Practice address

164 Lake Front Dr
Cockeysville, MD 21030-2215

Phone

(410) 785-3845

NPI assigned

Nov 30, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Trellis Services Inc.

  • Occupational Therapist
  • Hunt Valley, MD
  • NPI 1417230442
  NPD (past)
• Trellis Services, Inc

  • Speech-Language Pathologist
  • Hunt Valley, MD
  • NPI 1497082176
  NPD (past)

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1528360310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 LAKE FRONT DR",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302215",
            "telephone_number": "410-785-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 LAKE FRONT DR",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302215",
            "telephone_number": "410-785-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "NICHOLE",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "B.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "1-10-7833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DO NOT TAKE MEDICARE",
            "identifier": "743078488",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Source Physiotherapy LLC
• Anna Alexandra Spahn, OTR/L
• Leonard Spector, DDS
• Steinmetz Optical Inc (Cockeysville Opticians)
• Stephen C. Flemke,O.D.,P.a.
• Sharlene Stokes-Payne
• Strategic Skills Speech Therapy LLC
• David Irving Streidel
• Craig Douglas Sullivan Sr., D.D.S.
• Nancy Swierk, P.T.

• Behavior Analyst in Cockeysville, MD
• Providers in Cockeysville, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.