Holland Nicole Wheaton, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-79499

Practice address

5452 Congress Ave Apt 1
Madison, WI 53718-2233

Phone

(509) 954-0422

NPI assigned

May 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Holly Nicole Wheaton Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1568046621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 173RD ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126466",
            "telephone_number": "509-954-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5452 CONGRESS AVE APT 1",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182233",
            "telephone_number": "509-954-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATON",
        "first_name": "HOLLAND",
        "middle_name": "NICOLE",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-25-79499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "WHEATON",
            "middle_name": "NICOLE",
            "credential": "MA, BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caitlin Weyenberg, CCC-SLP
• Patricia Weynand
• Briona Whalen
• Naree K Whang, MD
• Deyanira V Whearty, MSW
• Wheelchair Recycling Program
• Dorthea Lorine Wheeler, MD, PHD
• Justin Wheeler, RN
• Madelyn Wheeler
• Megan Lynn Wheeler, MSW, APSW

• Behavior Analyst in Madison, WI
• Providers in Madison, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.