Nichole Danyel Collins, PHD, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

326 Issued in CT

Practice address

2300 Main St
Glastonbury, CT 06033-2218

Phone

(888) 968-4448

NPI assigned

Nov 23, 2016

Last updated

Jan 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Neurodiverse Consulting, LLC

  • Behavior Analyst
  • East Hampton, CT
  • NPI 1275426439
  NPD Authorized official
• Aspire Living & Learning

  • Community/Behavioral Health Agency
  • Meriden, CT
  • NPI 1679985501
  NPD (past)

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1891238853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332218",
            "telephone_number": "860-430-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332218",
            "telephone_number": "888-968-4448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 W Main St",
            "address_purpose": "LOCATION",
            "city": "Amston",
            "state": "CT",
            "postal_code": "062311210",
            "country_code": "US",
            "telephone_number": "860-990-3657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "NICHOLE",
        "middle_name": "DANYEL",
        "name_prefix": "Dr.",
        "credential": "PHD, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "neurodiverseconsultingct@gmail.com",
            "affiliation": "N",
            "address_1": "349 W Main St",
            "city": "Amston",
            "state": "CT",
            "country_code": "US",
            "postal_code": "062311210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Marie Colborn, APRN
• Marla J Colburn Dunnells, D.C.
• Abby Golomb Cole, PH.D.
• Collaborative Nutrition Therapy LLC
• Collins Surgical Associates, P.C.
• Andrea Dyal Collura, L.P.C.
• Gail P Comey, PHD
• Compassionate Connections Wellness Center PLLC
• Complete Love & Care Home Care LLC
• Ahmed Paul Concepcion, ATC

• Behavior Analyst in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.