Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780236091 Individual Practitioner Female Practitioner

Nicole Jeneath Vedder , MA, BCBA, LBA

Behavior Analyst • Tucson, AZ

Professional Overview & Biography Verified Profile Summary

Nicole Vedder, MA, BCBA, LBA is a registered healthcare professional specializing in Behavior Analyst in Tucson, AZ. Practice services are available at 1350 W IRVINGTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1350 W Irvington Rd

Tucson, AZ 857464106

Telephone 5206667890

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
211 Specialists

Practicing in Tucson, 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: 2026-03-31
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License AZ BEH-001099

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 Analyst

NUCC Taxonomy Code: 103K00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
A0003886 (ID)
Commercial Insurance / Payer ID Bcba Certificate
1-22-57496

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1205412798

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

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location March 31, 2026

Registered at 1350 W IRVINGTON RD, TUCSON, AZ 857464106 (Tel: 5206667890)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2026

Behavior Analyst

📍
Updated Business Mailing Address March 03, 2026

Registered at 3310 N 19TH AVE, PHOENIX, AZ 850155701 (Tel: 8557728847)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2026

Behavior Analyst (License #BEH-001099 in AZ)

📍
Updated Practice Location March 12, 2025

Registered at 5220 N DYSART RD BLDG C, LITCHFIELD PARK, AZ 853403045 (Tel: 6232449179)

📍
Updated Business Mailing Address March 12, 2025

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

📍
Updated Practice Location April 11, 2023

Registered at 12725 W INDIAN SCHOOL RD BLDG D, AVONDALE, AZ 853929520 (Tel: 6232077190)

📍
Updated Business Mailing Address April 11, 2023

Registered at 1601 S MOPAC EXPY STE C300, AUSTIN, TX 787467077 (Tel: 5129201030)

📍
Updated Practice Location January 06, 2023

Registered at 1714 E WEILE AVE, SPOKANE, WA 992178610 (Tel: 2087318313)

👤
Provider Name / Credentials Updated January 06, 2023

Recorded as NICOLE VEDDER, MA, BCBA, LBA

📍
Updated Practice Location August 06, 2020

Registered at 786 PARKWOOD DR, TWIN FALLS, ID 833014982 (Tel: 2087318313)

👤
Provider Name / Credentials Updated August 06, 2020

Recorded as NICOLE VEDDER, I.S.

NPI Profile Active July 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2019

Registered at 1722 GLENDALE AVE, TWIN FALLS, ID 833016939 (Tel: 2084106730)

📍
Updated Business Mailing Address July 17, 2019

Registered at 1722 GLENDALE AVE, TWIN FALLS, ID 833016939 (Tel: 2084106730)

👤
Provider Name / Credentials Updated July 17, 2019

Recorded as NICOLE STEWART

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2019

Behavior Analyst

🟢
Initial NPI Registration & Enumeration July 16, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1780236091
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2019
Last Update: March 31, 2026
Sole Proprietor: No

Mailing Address

3310 N 19th Ave

Phoenix, AZ 850155701

Phone: 8557728847

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.