Active NPI
Jennifer M Nicholas, BCBA
- Behavior Analyst
- Siloam Springs, AR
National Provider Identifier
1912803529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-73972
- Practice address
- 120 S Broadway St
Siloam Springs, AR 72761-3128 - Phone
- (479) 427-9355
- NPI assigned
- Oct 19, 2026
- Last updated
- Oct 19, 2026
- 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 | 1-24-73972 | AR | Primary |
Addresses
Primary practice location
120 S Broadway St
Siloam Springs, AR 72761-3128
Mailing address
1041 Emerald St
Prairie Grove, AR 72753-5026
Phone (479) 427-9355
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1912803529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 EMERALD ST",
"city": "PRAIRIE GROVE",
"state": "AR",
"postal_code": "727535026",
"telephone_number": "479-427-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S BROADWAY ST",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727613128",
"telephone_number": "479-427-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-19",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AR",
"license": "1-24-73972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Siloam Springs, AR
- New Creation Professional Counseling & Management Services, Inc.
- New Creation Professional Counseling and Management Services, Inc.
- Baylee Newbauer, PTA
- Jonah John Newsom
- James Cody Newton
- Brian Stephen Nitz, ATC
- Northwest Arkansas Anesthesia Associates
- Northwest Arkansas Renal Dialysis Associates (Regional Kidney Center Siloam Springs Dialysis Clinic)
- Nwa Second Stage Transition
- Nwa Vision Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.