Nicole Sekloch, BCBA – Behavior Analyst

Key facts

NPI: 1376182006
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Analyst 103K00000X
License: 4970 (MT)
Practice address: 1725 Mt Highway 35
Kalispell, MT 59901-2464
Phone: (406) 549-6413
Fax: (406) 542-0143
NPI assigned: Dec 28, 2019
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Child Development Center, Inc Behavior Analyst · Missoula, MT · NPI 1750422978

NPD (past) BEHAVIOR ANALYST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
4970	MT	MD	Behavioral Analyst

Practice roles

Organization	Specialty	Status	New patients
Child Development Center, Inc	Behavior Analyst	Past since Mar 24, 2024	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Analyst	103K00000X	4970	MT	Yes

Addresses

Primary practice location

1725 Mt Highway 35
Kalispell, MT 59901-2464

Mailing address

3335 LT Moss Rd
Missoula, MT 59804-7222
Phone (406) 549-6413

Other practice location 1

3335 Lt Moss Rd
Missoula, MT 59804-7222
Phone (406) 549-6413

Other providers in Kalispell, MT

All providers in Kalispell, MT · Behavior Analyst in Montana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.