Nicole Sirotti, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401000178 Issued in MI

Practice address

1800 S 35TH St
Galesburg, MI 49053-9688

Phone

(847) 271-5387

NPI assigned

Jan 22, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Vav Operations Mi, LLC

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
  • NPI 1285174912
  NPD (past)

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

{
    "created_epoch": "1485043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1619414133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 PEMBROOK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083204",
            "telephone_number": "847-271-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S 35TH ST",
            "city": "GALESBURG",
            "state": "MI",
            "postal_code": "490539688",
            "telephone_number": "847-271-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROTTI",
        "first_name": "NICOLE",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-22",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khadijah Shavers
• Deona Sherman
• Tabatha Shirley
• Suzanne Shorey
• Crystal Shreves
• Madisyn Wynter Slater
• Sarah Sloan
• Lindsay Smeltzer
• Aubrey Smith, PTA
• Kailah Smith

• Behavior Analyst in Galesburg, MI
• Providers in Galesburg, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.