Nicole Stewart, MSED, BCBA, LBA-NY

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

000650 Issued in NY

Practice address

20 Oakview Ave
Maplewood, NJ 07040-2214

Phone

(973) 809-3543

NPI assigned

May 16, 2017

Last updated

May 23, 2021By the provider in NPPES

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

Other identifiers 2

Other names 1

• Nicole Herz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• N

  • Behavior Analyst
  • Maplewood, NJ
  • NPI 1215674916
  NPD Authorized official
• Manhattan Applied Behavior Analysis Interventions , PLLC

  • Behavior Analyst
  • New York, NY
  • NPI 1518519743
  NPD (past)

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621728000000",
    "number": "1871020339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 OAKVIEW AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402214",
            "telephone_number": "973-809-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OAKVIEW AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402214",
            "telephone_number": "973-809-3543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 W 95th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100256604",
            "country_code": "US",
            "telephone_number": "646-480-5756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "NICOLE",
        "credential": "MSED, BCBA, LBA-NY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LBA",
            "identifier": "000650",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-12-10434",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HERZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alison M Steiner, LCSW
• Jennifer Anne Stemmermann, LCSW
• Christopher R Stephan-Jones, PMHNP
• Ronnie Phyllis Stern
• Cameron Stewart, LCSW
• Meredith J Strauss, LSW
• Strongminds Inc
• Krishna Surapaneni
• Sure Directions LLC
• Benjamin Swerdlow, LCSW

• Behavior Analyst in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.