Active NPI
Haley Nicholson
- Behavior Analyst
- Richmond, VA
National Provider Identifier
1497413017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133004755
- Practice address
- 3333 W Marshall St Ste a
Richmond, VA 23230-4636 - Phone
- (804) 317-2288
- Fax
- (804) 823-2596
- NPI assigned
- Dec 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133004755 | VA | Primary |
Addresses
Primary practice location
3333 W Marshall St Ste a
Richmond, VA 23230-4636
Mailing address
9124 Fox Hill Race CT
Mechanicsville, VA 23116-3179
Phone (804) 517-2472
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 |
|---|---|---|---|
| 0133004755 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1497413017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9124 FOX HILL RACE CT",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231163179",
"telephone_number": "804-517-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 W MARSHALL ST STE A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232304636",
"telephone_number": "804-317-2288",
"fax_number": "804-823-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "HALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-01",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133004755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.