Active NPI
Lydia Danielle Nicolaus
- Assistant Behavior Analyst
- Omaha, NE
National Provider Identifier
1871079236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 900 S 74TH PLZ Ste 102
Omaha, NE 68114-4667 - Phone
- (531) 365-0385
- NPI assigned
- Jul 18, 2018
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | NE | Primary |
Addresses
Primary practice location
900 S 74TH PLZ Ste 102
Omaha, NE 68114-4667
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other practice location 1
105 N 31st Ave Apt 403
Omaha, NE 68131-2663
Phone (916) 995-3815
Other practice location 2
105 N 31st Ave Apt 403
Omaha, NE 68131-2663
Phone (916) 995-3815
Other practice location 3
900 S 74th Plz Ste 102
Omaha, NE 68114-4667
Phone (531) 365-0385
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1871079236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 1800",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677807",
"telephone_number": "818-345-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S 74TH PLZ STE 102",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144667",
"telephone_number": "531-365-0385"
}
],
"practiceLocations": [
{
"address_1": "105 N 31st Ave Apt 403",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681312663",
"country_code": "US",
"telephone_number": "916-995-3815",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 N 31st Ave Apt 403",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681312663",
"country_code": "US",
"telephone_number": "916-995-3815",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 S 74th Plz Ste 102",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681144667",
"country_code": "US",
"telephone_number": "531-365-0385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICOLAUS",
"first_name": "LYDIA",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.