Nicole Marie Powell
Individual provider Active NPI Behavior Technician · Rochelle, VA
NPI 1760125942 · NPPES record last updated Apr 15, 2022
Key facts
- NPI
- 1760125942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 27 Jacks Shop Rd
Rochelle, VA 22738-4061 - Phone
- (540) 738-7720
- NPI assigned
- Apr 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Behavior Doc LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
27 Jacks Shop Rd
Rochelle, VA 22738-4061
Mailing address
185 Hampton Village Rd
Madison, VA 22727-3849
Phone (703) 798-6829
Other providers in Rochelle, VA
- Hope Inspired Therapy, LLC
- Joshua Evandon Keys
- Alicia Malewicki
- Veronica Martinez
- Loreen Hiwa Merani
- Tyana Seth
- Samantha Lynn Shifflett
- Susanna H Wood
All providers in Rochelle, VA · Behavior Technician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.