Individual provider · Type 1 NPI

Nicole Marie Popow, BCBA

Behavior Analyst · South Bend, IN

NPI number 1619645900 Active

Practice location

2505 E Jefferson Blvd
South Bend, IN 46615-2635

Fax (574) 289-4831

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-22-62320 (IN)

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 1619645900

Nicole Marie Popow, BCBA's National Provider Identifier is 1619645900, issued on Sep 1, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in South Bend, IN. The record was last updated on Jan 26, 2026.