Individual provider · Type 1 NPI

Katelyn Elizabeth Nicklow, M.S., BCBA

Behavior Analyst · Philadelphia, PA

NPI number 1104477769 Active

Practice location

2035 S 4th St
Philadelphia, PA 19148-2550

Mailing address

306 N Kensington Ave
La Grange Park, IL 60526-1870

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-19-37911 (PA)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1104477769

Katelyn Elizabeth Nicklow, M.S., BCBA's National Provider Identifier is 1104477769, issued on Sep 25, 2019. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 25, 2019.