Nichole Leigh Nistler, BCBA
Behavior Analyst in Verona, WI. Individual provider (NPI-1).
NPI number1164043568
StatusActive
Last updated in NPPESApr 28, 2020
Details
- NPI
- 1164043568
- Entity type
- Individual (NPI-1)
- Name
- Nichole Leigh Nistler
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2020
- Certification date
- Apr 28, 2020
- Last updated
- Apr 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 359-140 | WI | Yes |
Practice location
200 Enterprise DrVerona, WI 53593-9124
Phone 608-497-3230
Mailing address
200 Enterprise DrVerona, WI 53593-9124
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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