Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Nicolle Adele Medeiros, BS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225442817

MS. Nicolle Adele Medeiros, BS is a Student in an Organized Health Care Education/Training Program in Fairfax, Virginia. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

11240 Waples Mill Rd Ste 101
Fairfax, VA 22030-6078
Phone: (703) 237-2219
Fax: (703) 237-2729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1225442817
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorNo
NPI enumeratedJune 11, 2014
Last updated in NPPESJanuary 5, 2018
Mailing address1304 N Sterling Blvd, Sterling, VA 20164-2322

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