Amelia Ellen Nicholls

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-74779 Issued in WA

Practice address

4088 Mattson PL NE
Bainbridge Island, WA 98110-2224

Phone

(206) 919-6546

NPI assigned

Jun 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Behavior LLC

  • Behavior Analyst
  • Bainbridge Island, WA
  • NPI 1285267765
  NPD

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1578859138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 WINSLOW WAY E UNIT 10405",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981109972",
            "telephone_number": "206-919-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 MATTSON PL NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102224",
            "telephone_number": "206-919-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLLS",
        "first_name": "AMELIA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-24-74779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Jean Neste, DDS
• Marcus Craig Netherton, LMP
• New Motion Physical Therapy, Inc., PS
• Katherine Newberg, ARNP
• Jennifer Ann Newman, M.D.
• Marsha Novak, P.T.
• Deborah Nover, LMP
• Jeanene Marie Nover, MPT
• Mary O'Leary, PHD
• Dolores Ann O'Rourke, MS, RD

• Behavior Analyst in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.