Nichole Leigh Nistler, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

359-140 Issued in WI

Practice address

200 Enterprise Dr
Verona, WI 53593-9124

Phone

(608) 497-3230

NPI assigned

Apr 27, 2020

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Center for Behavior Change LLC

  • Behavior Analyst
  • Madison, WI
  • NPI 1063211266
  NPD Authorized official
• Achieving Collaborative Treatment

  • Community/Behavioral Health Agency
  • Verona, WI
  • NPI 1407178403
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2020.

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1164043568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ENTERPRISE DR",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ENTERPRISE DR",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939124",
            "telephone_number": "608-497-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISTLER",
        "first_name": "NICHOLE",
        "middle_name": "LEIGH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "359-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Lynn Musser
• Kelyn Marie Navarrete, M.S C.F S.L.P
• Mary Nawrocki
• Alex Neal, PTA
• Daniela Paola Nieto
• Noble Care LLC
• Brandy Nobles
• Tricia Norby, LPC
• Steven Dale Nordeen, CRC
• Obsidian Integrative Psychiatry, LLC

• All providers in Verona, WI
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.