NICOLE SUE LEWIS BA
NPI 1609488063
Behavior Technician in Fort Wayne, IN

Active since August 18, 2020
4422 E STATE BLVD, FORT WAYNE, IN 46815(260) 471-9263(317) 520-8200 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Sue Lewis Ba NPPES

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

NICOLE SUE LEWIS BA (NPI 1609488063) is an individual behavior technician in Fort Wayne, Indiana, licensed in Indiana (RBT-19-82144) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1609488063
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameNICOLE SUE LEWISCredential: BA
Location Address4422 E STATE BLVDFort Wayne, IN 46815-6917
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200
Fax(317) 520-8200
Sole ProprietorNo
Enumeration DateAugust 18, 2020
NPPES CertifiedAugust 18, 2020
NPI 1609488063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in IN · RBT-19-82144
Definition
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.
4422 E STATE BLVD, Fort Wayne, IN 46815

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
4422 E STATE BLVD
FORT WAYNE, IN 46815
Behavior Technician
4422 E STATE BLVD
FORT WAYNE, IN 46815
Behavior Technician
4422 E STATE BLVD
FORT WAYNE, IN 46815
Behavior Technician
4422 E STATE BLVD
FORT WAYNE, IN 46815
Behavior Technician
4422 E STATE BLVD
FORT WAYNE, IN 46815
Behavior Analyst
4422 E STATE BLVD
FORT WAYNE, IN 46815
Behavior Analyst
4422 E STATE BLVD
FORT WAYNE, IN 46815
Behavior Technician
4422 E STATE BLVD
FORT WAYNE, IN 46815

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 Lewis's NPI number?

The NPI number for Nicole Lewis is 1609488063. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Nicole Lewis located?

Nicole Lewis practices at 4422 E State Blvd, Fort Wayne, IN 46815. The listed phone number is (260) 471-9263.

What is Nicole Lewis's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Nicole Lewis was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.