Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780812636 Individual Practitioner Female Practitioner

Nicole A. Notowidigdo , MA, BCBA

Behavior Analyst • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Nicole Notowidigdo, MA, BCBA is a registered healthcare professional specializing in Behavior Analyst in Chicago, IL. Practice services are available at 4801 W. PETERSON AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4801 W. Peterson Avenue
Suite 512

Chicago, IL 60646

Telephone 3128067937

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
674 Specialists

Practicing in Chicago, IL (3105 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: 2025-05-07
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License IL 1095773

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.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Ava Drosos

Behavior Analyst

NPI 1023824471
Holly Carter , MA

Behavior Analyst

NPI 1093373276

Master of Arts

Jamie Gebhardt

Behavior Technician

NPI 1225855687
Natalia Coba

Behavior Technician

NPI 1336998889
Kendall Richardson

Behavior Technician

NPI 1396563342
Diana Lema

Behavior Technician

NPI 1609613819

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address May 07, 2025

Registered at 6430 N CENTRAL AVE STE A, CHICAGO, IL 606462943 (Tel: 3128067937)

👤
Provider Name / Credentials Updated May 07, 2025

Recorded as NICOLE NOTOWIDIGDO, MA, BCBA

NPI Profile Active March 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2013

Registered at 4801 W. PETERSON AVENUE, SUITE 512, CHICAGO, IL 60646 (Tel: 3128067937)

📍
Updated Business Mailing Address March 27, 2013

Registered at PO BOX 256643, CHICAGO, IL 606256643 (Tel: 3128067937)

👤
Provider Name / Credentials Updated March 27, 2013

Recorded as NICOLE CISSELL, MA, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2013

Behavior Analyst (License #1095773 in IL)

🟢
Initial NPI Registration & Enumeration June 30, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780812636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2009
Last Update: May 07, 2025
Sole Proprietor: No

Mailing Address

6430 N Central Ave Ste A

Chicago, IL 606462943

Phone: 3128067937

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.