Active NPI
Nicole Lynn Champagne, BCBA
- Behavior Analyst
- Cass City, MI
National Provider Identifier
1144659236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11313864
- Practice address
- 6627 Rose St
Cass City, MI 48726 - Phone
- (989) 872-1800
- Fax
- (989) 872-1801
- NPI assigned
- Nov 8, 2013
- Last updated
- Mar 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | MI | ||
| Behavior Analyst | 103K00000X | NU | ||
| Behavior Analyst | 103K00000X | 11313864 | MI | Primary |
Addresses
Primary practice location
6627 Rose St
Cass City, MI 48726
Mailing address
6627 Rose St
Cass City, MI 48726-1262
Phone (989) 872-1800
Other practice location 1
1332 Prospect Ave
Caro, MI 48723-9288
Phone (989) 673-6191
Other practice location 2
2762 Pigeon Rd
Bad Axe, MI 48413-9738
Phone (989) 872-3834
Other names 1
- Nicole Kohaif
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11313864 | MI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773446400000",
"number": "1144659236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6627 ROSE ST",
"city": "CASS CITY",
"state": "MI",
"postal_code": "487261262",
"telephone_number": "989-872-1800",
"fax_number": "989-872-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6627 ROSE ST",
"city": "CASS CITY",
"state": "MI",
"postal_code": "48726",
"telephone_number": "989-872-1800",
"fax_number": "989-872-1801"
}
],
"practiceLocations": [
{
"address_1": "1332 Prospect Ave",
"address_purpose": "LOCATION",
"city": "Caro",
"state": "MI",
"postal_code": "487239288",
"country_code": "US",
"telephone_number": "989-673-6191",
"fax_number": "989-672-2199",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2762 Pigeon Rd",
"address_purpose": "LOCATION",
"city": "Bad Axe",
"state": "MI",
"postal_code": "484139738",
"country_code": "US",
"telephone_number": "989-872-3834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAMPAGNE",
"first_name": "NICOLE",
"middle_name": "LYNN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2026-03-14",
"certification_date": "2026-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "11313864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "KOHAIF",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cass City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.