MISS NICOLE JUSTINE TISDALE M.S., B.C.B.A
NPI 1164712758
Behavior Analyst in Yorba Linda, CA
NPI Status: Active since April 15, 2011
Contact Information
25600 CROSS CREEK DR
49C
YORBA LINDA, CA
ZIP 92887
Phone: (714) 497-5543
- Individual
- Female
- Behavior Analyst
About NICOLE TISDALE
This page provides the complete NPI Profile along with additional information for Nicole Tisdale, a provider established in Yorba Linda, California with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1164712758 assigned on April 2011. The practitioner's primary taxonomy code is 103K00000X with license number 1-09-5703 (CA). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1164712758
- Provider Name
- MISS NICOLE JUSTINE TISDALE M.S., B.C.B.A
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 25600 CROSS CREEK DR 49C YORBA LINDA, CA 92887
- Location Phone
- (714) 497-5543
- Mailing Address
- 25600 CROSS CREEK DR 49C YORBA LINDA, CA 92887
- Mailing Phone
- (714) 497-5543
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-15-2011
- Last Update Date
- 04-15-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Analyst
- Taxonomy Code
- 103K00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1-09-5703
- License State
- CA
- Taxonomy Description
- A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 7 | 1 | 2 | 7 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 14 | 1 | 4 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 4 + 1 + 4 + 7 + 1 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1164712758 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164712758, enumerated in the NPI registry as an "individual" on April 15, 2011
The provider is located at 25600 Cross Creek Dr 49c Yorba Linda, Ca 92887 and the phone number is (714) 497-5543
The provider's speciality is Behavior Analyst with taxonomy code 103K00000X
This NPI record was last updated on April 15, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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