MISS NICOLE JUSTINE TISDALE M.S., B.C.B.A
NPI 1164712758
Behavior Analyst in Yorba Linda, CA

Q: What is Nicole Tisdale's NPI number?

The NPI number for Nicole Tisdale is 1164712758. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Q: What is Nicole Tisdale's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Tisdale was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 15, 2011

25600 CROSS CREEK DR, 49C, YORBA LINDA, CA 92887(714) 497-5543 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miss Nicole Justine Tisdale M.s., B.c.b.a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS NICOLE JUSTINE TISDALE M.S., B.C.B.A (NPI 1164712758) is an individual behavior analyst provider in Yorba Linda, California, licensed in California (1-09-5703) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1164712758

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMISS NICOLE JUSTINE TISDALECredential: M.S., B.C.B.A

Location Address25600 CROSS CREEK DR, 49CYorba Linda, CA 92887-6238

Mailing Address25600 Cross Creek Dr, 49cYorba Linda, CA 92887-6238 · (714) 497-5543

Phone(714) 497-5543

Sole ProprietorYes

Enumeration DateApril 15, 2011

✔ NPI 1164712758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · 1-09-5703

Definition

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.

25600 CROSS CREEK DR, Yorba Linda, CA 92887

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Tisdale's NPI number?

The NPI number for Nicole Tisdale is 1164712758. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Where is Nicole Tisdale located?

Nicole Tisdale practices at 25600 Cross Creek Dr 49C, Yorba Linda, CA 92887. The listed phone number is (714) 497-5543.

What is Nicole Tisdale's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Nicole Tisdale was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.