KATELYN ELIZABETH NICKLOW M.S., BCBA
NPI 1104477769
Behavior Analyst in Philadelphia, PA

Q: What is the provider's specialty?

The provider's specialty is Behavior Analyst with taxonomy code 103K00000X.

Active since September 25, 2019

2035 S 4TH ST, PHILADELPHIA, PA 19148(724) 630-5785 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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Individual
Female
Behavior Analyst

About KATELYN NICKLOW

This page provides the complete NPI Profile along with additional information for Katelyn Nicklow, a provider established in Philadelphia, Pennsylvania with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1104477769 assigned on September 2019. The practitioner's primary taxonomy code is 103K00000X with license number 1-19-37911 (PA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI: 1104477769 Verify this NPI
Provider Name: KATELYN ELIZABETH NICKLOW M.S., BCBA
Gender: Female
Entity Type: Individual
Location Address: 2035 S 4TH ST PHILADELPHIA, PA 19148
Location Phone: (724) 630-5785
Mailing Address: 306 N KENSINGTON AVE LA GRANGE PARK, IL 60526
Is Sole Proprietor?: No
Enumeration Date: 09-25-2019
Last Update Date: 09-25-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Behavior Analyst
Taxonomy Code: 103K00000X
Type: Behavioral Health & Social Service Providers
License No.: 1-19-37911
License State: PA
Taxonomy Description: 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.