Active NPI
Lori Marie Nice, M.S., BCBA
- Behavior Analyst
- Modesto, CA
National Provider Identifier
1700289816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 80-0000791
- Practice address
- 3425 Coffee Rd
Modesto, CA 95355 - Phone
- (209) 521-4791
- Fax
- (209) 521-4794
- NPI assigned
- Oct 2, 2014
- 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 | 80-0000791 | CA | Primary |
Addresses
Primary practice location
3425 Coffee Rd
Modesto, CA 95355
Mailing address
3425 Coffee Rd
Modesto, CA 95355-1582
Phone (209) 521-4791
Other practice location 1
5716 Pirrone Rd
Salida, CA 95368-9313
Phone (209) 579-9444
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80-0000791 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1700289816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551582",
"telephone_number": "209-521-4791",
"fax_number": "209-521-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "95355",
"telephone_number": "209-521-4791",
"fax_number": "209-521-4794"
}
],
"practiceLocations": [
{
"address_1": "5716 Pirrone Rd",
"address_purpose": "LOCATION",
"city": "Salida",
"state": "CA",
"postal_code": "953689313",
"country_code": "US",
"telephone_number": "209-579-9444",
"fax_number": "209-579-9494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICE",
"first_name": "LORI",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-02",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "80-0000791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.