Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE ELLISH, BCBA
Active Sole ProprietorNICOLE ELLISH, BCBA is a Behavior Analyst healthcare provider located in PLEASANT PRAIRIE, Wisconsin. NPI 1689107716 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · PLEASANT PRAIRIE, WI
Registration Details
- NPI Number
- 1689107716
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2017 (9.3204388857139 yrs)
- Last Updated
- Oct 3, 2020
- Licenses
-
11725028 (IL)176-140 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10450 72ND AVEPLEASANT PRAIRIE, WI, 531582911Browse WI providers · Browse ZIP 53158
- Phone
- 2626576453
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in PLEASANT PRAIRIE, WI
| Name | Credential | NPI |
|---|---|---|
| JENNIFER S STEVENS | M. ED, BCBA | 1194054981 |
| KELLY KUENNEN | — | 1063902450 |
| MARIE KATHLEEN JOHNSON | BCBA | 1750868642 |
| MRS. MELISSA ANN ROBERTS | BCBA | 1043797616 |
| STEPHANIE PAFF | BCBA | 1538714969 |
| SARAH STUPARITS | MS, BCBA | 1407406184 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.