Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063666006 Individual Practitioner Female Practitioner

Nicole Joy Dewitt , MA, BCBA

Behavior Analyst • South Bend, IN

Professional Overview & Biography Verified Profile Summary

Nicole Dewitt, MA, BCBA is a registered healthcare professional specializing in Behavior Analyst in South Bend, IN. Practice services are available at 2505 E JEFFERSON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2505 E Jefferson Blvd

South Bend, IN 466152635

Telephone 5742894831
Associated Practice Facility / Clinic
🏢 Logan Community Resources Facility NPI 1033378807

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in South Bend, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
61 Specialists

Practicing in South Bend, IN (2160 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

Behavior Analyst Primary Specialty

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Lynn Sayre , MSW

Social Worker

NPI 1013154343

Master of Social Work

Camron Hooton

Behavior Technician

NPI 1013714534
Rhiannon Mccullough

Behavior Technician

NPI 1013786029
Lyla Brenneman

Behavior Technician

NPI 1013804947
Alexous Brown

Behavior Technician

NPI 1013882463
Tania Anderson

Behavior Technician

NPI 1023896990

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 30, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2010

Registered at 2505 E JEFFERSON BLVD, SOUTH BEND, IN 466152635 (Tel: 5742894831)

📍
Updated Business Mailing Address August 30, 2010

Registered at 118 1/2 S FRONT ST, DOWAGIAC, MI 490471737 (Tel: 2488304035)

👤
Provider Name / Credentials Updated August 30, 2010

Recorded as NICOLE DEWITT, M.A., BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2010

Behavior Analyst

🟢
Initial NPI Registration & Enumeration November 04, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1063666006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2008
Last Update: August 30, 2010
Sole Proprietor: No

Mailing Address

118 1/2 S Front St

Dowagiac, MI 490471737

Phone: 2488304035

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.