Nicole Justine Tisdale, M.S., B.C.B.A
NPI 1164712758ActiveIndividual· Behavior Analyst· Yorba Linda, CA
Behavior Analyst (M.S., B.C.B.A) in Yorba Linda, California, licensed in CA, with an NPI issued in April 2011.
Overview
| NPI | 1164712758 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., B.C.B.A |
| Sole proprietor | Yes |
| NPI issued | Apr 15, 2011 |
| Last updated in NPPES | Apr 15, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-09-5703 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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