Active NPI
Cheyenne Nicole Stickels
- Assistant Behavior Analyst
- Columbus, IN
National Provider Identifier
1851056014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 315 Washington St
Columbus, IN 47201-6743 - Phone
- (812) 413-9321
- Fax
- (812) 413-9323
- NPI assigned
- Nov 3, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Primary | ||
| Behavior Analyst | 103K00000X | 0-23-14596 | IN | |
| Behavior Technician | 106S00000X | RBT-1992276 | IN |
Addresses
Primary practice location
315 Washington St
Columbus, IN 47201-6743
Mailing address
315 Washington St
Columbus, IN 47201-6743
Phone (812) 413-9321
Other practice location 1
2600 Sandcrest Blvd
Columbus, IN 47203-3053
Phone (812) 413-9321
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-1992276 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imprint Pediatric Therapy LLC. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Nashville, IN
- NPI 1902371396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1851056014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 WASHINGTON ST",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472016743",
"telephone_number": "812-413-9321",
"fax_number": "812-413-9323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 WASHINGTON ST",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472016743",
"telephone_number": "812-413-9321",
"fax_number": "812-413-9323"
}
],
"practiceLocations": [
{
"address_1": "2600 Sandcrest Blvd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "IN",
"postal_code": "472033053",
"country_code": "US",
"telephone_number": "812-413-9321",
"fax_number": "812-413-9323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STICKELS",
"first_name": "CHEYENNE",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-03",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "0-23-14596",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-1992276",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.