Nicole Pamela Edge, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26204 Issued in FL

Practice address

12501 World Plaza LN BLDG 51
Fort Myers, FL 33907-3991

Phone

(239) 349-3139

Fax

(239) 984-4372

NPI assigned

Aug 31, 2014

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 names 1

• Nicole Pamela Schiegner Former name

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.

• Autism Services of FL

  • Behavior Analyst
  • Fort Myers, FL
  • NPI 1801471081
  NPD Authorized official
• Family Success Services, Incorporated

  • Behavior Analyst
  • Lehigh Acres, FL
  • NPI 1518316967
  NPD (past)

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

{
    "created_epoch": "1409443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1740680487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 WORLD PLAZA LN BLDG 51",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073991",
            "telephone_number": "239-349-3139",
            "fax_number": "239-984-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 WORLD PLAZA LN BLDG 51",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073991",
            "telephone_number": "239-349-3139",
            "fax_number": "239-984-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "NICOLE",
        "middle_name": "PAMELA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-31",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-17-26204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SCHIEGNER",
            "middle_name": "PAMELA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Eckhardt, LMHC
• Ecsc II LLC
• Nia Marie Mylika Eddie, RD
• Bonnie Louise Edgar I, OTR
• Breanna Rachelle Edge
• Timothy Edge
• Edison Chiropractor Center Inc
• Edison Mall Dental P.a
• Antavian Edison
• Keren Edison, RN

• Behavior Analyst in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.