Nicole Eugenio

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1324 Flaxwood Ave
Brandon, FL 33511-8809

Phone

(732) 858-1824

Fax

(866) 477-3119

NPI assigned

Apr 5, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Your Way ABA LLC

  • Behavior Analyst
  • Wilmington, DE
  • NPI 1457095747
  NPD (past) Authorized official

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1932563095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 FLAXWOOD AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118809",
            "telephone_number": "732-858-1824",
            "fax_number": "866-477-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 FLAXWOOD AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118809",
            "telephone_number": "732-858-1824",
            "fax_number": "866-477-3119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Airport Rd Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087016924",
            "country_code": "US",
            "telephone_number": "732-523-1245",
            "fax_number": "732-400-9170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUGENIO",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolas Etienne
• Ronney Etienne, PT
• Shanelle Etienne, D.C
• David Etter, MD
• Idania Lissette Ettienne, ARNP
• Astrid Amparo Eure
• James Dennis Evans III, LMHC
• Sarah Evers, RBT
• Evolution Counseling Associates
• Tangela D Ewin, APRN

• Behavior Analyst in Brandon, FL
• Providers in Brandon, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.