Nicole Elizabeth Wakeley, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

15BC00079500 Issued in NJ

Practice address

2 Pin Oak LN Ste 250
Cherry Hill, NJ 08003-1630

Phone

(856) 669-0211

NPI assigned

Jan 29, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1689487175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 E GREENWOOD AVE",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081071245",
            "telephone_number": "856-430-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PIN OAK LN STE 250",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031630",
            "telephone_number": "856-669-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKELEY",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "15BC00079500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl Joseph Wade Jr., BS
• Amy Wagner, RDN
• Analiese Wagner, DO
• Jason Waibel
• Rebecca Elizabeth Waite, PT, DPT
• Sarah Wakim
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Debbie Walcott, CADC
• Sophia Walden, OT

• Behavior Analyst in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.