Individual provider Active NPI

Nicole Therese Sella, MA, BCBA, LBA-WI

  • Behavior Analyst
  • Eau Claire, WI
National Provider Identifier
1700653086
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1205-140 Issued in WI
Practice address
1620 Ohm Ave
Eau Claire, WI 54701-4611
Phone
(715) 514-2555
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1205-140 WI Primary

Addresses

Primary practice location

1620 Ohm Ave
Eau Claire, WI 54701-4611

Mailing address

642 University Dr
Suites HD
Eau Claire, WI 54701
Phone (414) 840-6025

Other practice location 1

4232 London Rd
Eau Claire, WI 54701-2728
Phone (920) 857-9041

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1205-140WIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Yellow Brick Academy Behavior Analyst CurrentSince Dec 10, 2023 Accepting new patients
Caravel Autism Health, LLC Behavior Analyst Past Accepting new patients

Locations

1620 Ohm Ave
Eau Claire, WI 54701
Phone (715) 514-2555

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1700653086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 UNIVERSITY DR",
            "address_2": "SUITES HD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "414-840-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 OHM AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014611",
            "telephone_number": "715-514-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4232 London Rd",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547012728",
            "country_code": "US",
            "telephone_number": "920-857-9041",
            "fax_number": "920-857-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELLA",
        "first_name": "NICOLE",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA, LBA-WI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "1205-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.