Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE WASSOM
Active Sole ProprietorNICOLE WASSOM is a Behavior Analyst healthcare provider located in PROVO, Utah. NPI 1952940652 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · PROVO, UT
Registration Details
- NPI Number
- 1952940652
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2019 (6.8353560506918 yrs)
- Last Updated
- Jan 6, 2026
- License
-
14265002-2506 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
180 N UNIVERSITY AVE STE 270PROVO, UT, 846015648Browse UT providers · Browse ZIP 84601
- Phone
- 3854425895
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| MISS MELINDA CUMMINGS | — | 1104186592 |
| MR. ANDREW THOMAS JAYNES | — | 1235556408 |
| MEERA ANDERSEN | — | 1306204821 |
| CADE CHARLTON | RBT | 1114471711 |
| MICKELLE CHEEVER | BCBA | 1962972489 |
| GRETCHEN JANESSA SMITH | — | 1649832734 |
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.