Nicole Marie Nally, MS, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

289100 Issued in KY

Practice address

1300 E New Circle Rd Ste 150
Lexington, KY 40505-4322

Phone

(859) 685-1019

Fax

(317) 520-8200

NPI assigned

Sep 23, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1073129102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E NEW CIRCLE RD STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054322",
            "telephone_number": "859-685-1019",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLY",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "289100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-23-69333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Najpaver
• Nak Enterprises LLC
• Koichiro Nakanishi, LMT
• Hiroko Nakata, DDS
• Nalco, LLC
• Philip L Nally, MSW
• Renae D Nally, DNP
• Lily Namegabe
• Amelia Nance, MAPC LPCA
• Lauren Etienne Nance, APRN

• Behavior Analyst in Lexington, KY
• Providers in Lexington, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.