MS. NICOLLE ADELE MEDEIROS B.S.
NPI 1225442817
Behavior Technician in Fairfax, VA

NPI Status: Active since June 11, 2014

Contact Information

11240 WAPLES MILL RD
SUITE 101
FAIRFAX, VA
ZIP 22030
Phone: (703) 237-2219
Fax: (703) 237-2729

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  • Individual
  • Female
  • Behavior Technician

About NICOLLE MEDEIROS

This page provides the complete NPI Profile along with additional information for Nicolle Medeiros, a provider established in Fairfax, Virginia with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1225442817 assigned on June 2014. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1225442817
Provider Name
MS. NICOLLE ADELE MEDEIROS B.S.
Gender
Female
Entity Type
Individual
Location Address
11240 WAPLES MILL RD SUITE 101 FAIRFAX, VA 22030
Location Phone
(703) 237-2219
Location Fax
(703) 237-2729
Mailing Address
1304 N STERLING BLVD STERLING, VA 20164
Mailing Phone
(703) 439-4279
Is Sole Proprietor?
No
Enumeration Date
06-11-2014
Last Update Date
01-05-2018
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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 Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

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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.
1225442817
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
224584482
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 8 + 4 + 4 + 8 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1225442817 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508840729MATRIX MED INC
Organization
Durable Medical Equipment & Medical Supplies11240 WAPLES MILL RD STE 307
FAIRFAX, VA 22030
(703) 563-0044
1982949756MISS MIKAELA JANE EGAN B.S.
Individual
Student in an Organized Health Care Education/Training Program11240 WAPLES MILL RD SUITE 202
FAIRFAX, VA 22030
(703) 585-1095
1760720502MRS. ELISSA L JAMALDINIAN MS, OTR/L
Individual
Occupational Therapist (Pediatrics)11240 WAPLES MILL RD SUITE 202
FAIRFAX, VA 22030
(703) 237-2729
1083953780 ALLY MORRISON
Individual
Student in an Organized Health Care Education/Training Program11240 WAPLES MILL RD SUITE 202
FAIRFAX, VA 22030
(703) 237-2219
1528404720 MAY-LISSA LOUIS
Individual
Student in an Organized Health Care Education/Training Program11240 WAPLES MILL RD SUITE 101
FAIRFAX, VA 22030
(703) 237-2219
1992141709MS. KARLIE JENNA MEADOWS
Individual
Speech-Language Pathologist11240 WAPLES MILL RD SUITE 101
FAIRFAX, VA 22030
(703) 237-2219
1811335078 CHRISTINA THOMPSON
Individual
Speech-Language Pathologist11240 WAPLES MILL RD SUITE 101
FAIRFAX, VA 22030
(703) 237-2219
1023450202MS. ERIKA LORRAINE GRAY
Individual
Student in an Organized Health Care Education/Training Program11240 WAPLES MILL RD SUITE 101
FAIRFAX, VA 22030
(703) 237-2219
1326180589MRS. ALIX VERNON PT
Individual
Physical Therapist11240 WAPLES MILL RD
FAIRFAX, VA 22030
(703) 237-2219
1679905038 ALYSHA CEDENO
Individual
Student in an Organized Health Care Education/Training Program11240 WAPLES MILL RD SUITE 101
FAIRFAX, VA 22030
(703) 237-2219
1366747891MRS. SHERYL KATHLEEN GONCALVES DPT, PT
Individual
Physical Therapist (Pediatrics)11240 WAPLES MILL RD SUITE 101
FAIRFAX, VA 22030
(703) 237-2219
1699199075MRS. MAYA WARD
Individual
Early Intervention Provider Agency11240 WAPLES MILL RD
FAIRFAX, VA 22030
(703) 362-2663
1568877421MRS. XENIA SIVIRIAN
Individual
Student in an Organized Health Care Education/Training Program11240 WAPLES MILL RD
FAIRFAX, VA 22030
(703) 237-2219
1225443070MRS. JENNIFER KYRA KOBAYASHI MALONE
Individual
Student in an Organized Health Care Education/Training Program11240 WAPLES MILL RD SUITE 202
FAIRFAX, VA 22030
(703) 237-2219
1306252614 HEATHER WIRE MS, OTR/L
Individual
Occupational Therapist (Pediatrics)11240 WAPLES MILL RD SUITE 202
FAIRFAX, VA 22030
(703) 237-2219
1427465160 CATHERINE NOGA
Individual
Student in an Organized Health Care Education/Training Program11240 WAPLES MILL RD
FAIRFAX, VA 22030
(703) 237-2219
1194053850MS. GINA MARIE BALLONE M.S., BCBA
Individual
Behavior Analyst11240 WAPLES MILL RD SUITE 101
FAIRFAX, VA 22030
(703) 237-2219
1205236155 KATALIN VIZY
Individual
Occupational Therapist (Pediatrics)11240 WAPLES MILL RD STE. 101
FAIRFAX, VA 22030
(703) 237-2219
1245631951 CHITHRA CHANDY OCCUPATIONAL THERAPY
Individual
Occupational Therapist (Pediatrics)11240 WAPLES MILL RD
FAIRFAX, VA 22030
(703) 237-2219
1255733887 LISA WALKER M.A. CCC-SLP
Individual
Speech-Language Pathologist11240 WAPLES MILL RD SUITE 101
FAIRFAX, VA 22030
(703) 237-2219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225442817, enumerated in the NPI registry as an "individual" on June 11, 2014

The provider is located at 11240 Waples Mill Rd Suite 101 Fairfax, Va 22030 and the phone number is (703) 237-2219

The provider's speciality is Behavior Technician with taxonomy code 106S00000X

This NPI record was last updated on June 11, 2014. 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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