Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891462115 Individual Practitioner Female Practitioner

Nicole Marie Nelson , MA, BCBA, LBA

Behavior Analyst • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Nicole Nelson, MA, BCBA, LBA is a registered healthcare professional specializing in Behavior Analyst in Mesa, AZ. Practice services are available at 6335 E MAIN ST STE E4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6335 E Main St Ste E4

Mesa, AZ 852058966

Telephone 4803517555

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
158 Specialists

Practicing in Mesa, AZ (1778 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-08
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License AZ BEH-000941

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

State License AZ RBT-21-181787

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcba Certificate
1-22-58841

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Jaclyn Wilson , MA BCBA

Behavior Analyst

NPI 1114817137

MABCBA

Andrew Au

Behavior Analyst

NPI 1194564468
Margaret Restuccia

Behavior Analyst

NPI 1265237564
NPI 1407310600

Master of Education, Board Certified Behavior Analyst, Licensed Behavior Analyst

NPI 1457103004

Master of Arts, Board Certified Behavior Analyst

Tamara Habern

Behavior Analyst

NPI 1538628037

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location April 08, 2025

Registered at 6335 E MAIN ST STE E4, MESA, AZ 852058966 (Tel: 4803517555)

👤
Provider Name / Credentials Updated April 08, 2025

Recorded as NICOLE NELSON, M.A., BCBA, LBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2025

Behavior Analyst (License #BEH-000941 in AZ)

📍
Updated Business Mailing Address November 26, 2022

Registered at 6335 E MAIN ST # E4, MESA, AZ 852058965 (Tel: 4803517555)

👤
Provider Name / Credentials Updated November 26, 2022

Recorded as NICOLE MARTINEZ, M. ED, BCBA, LBA

📍
Updated Practice Location August 05, 2022

Registered at 6550 E BROADWAY RD STE 110, MESA, AZ 852061734 (Tel: 4806720772)

👤
Provider Name / Credentials Updated August 05, 2022

Recorded as NICOLE MARTINEZ, MA, BCBA, LBA

👤
Provider Name / Credentials Updated April 12, 2022

Recorded as NICOLE MARTINEZ, MA, BCBA

NPI Profile Active August 25, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2021

Registered at 971 N GILBERT RD STE 101, GILBERT, AZ 852343472 (Tel: 4805598089)

📍
Updated Business Mailing Address August 25, 2021

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

👤
Provider Name / Credentials Updated August 25, 2021

Recorded as NICOLE MARTINEZ, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2021

Behavior Technician (License #RBT-21-181787 in AZ)

🟢
Initial NPI Registration & Enumeration August 25, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Nicole Nelson. Be the first to share your experience!

Sign in to leave a review for Nicole Nelson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1891462115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2021
Last Update: April 08, 2025
Sole Proprietor: No

Mailing Address

6335 E Main St # E4

Mesa, AZ 852058965

Phone: 4803517555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.