NICOLE SEVERN BCBA
NPI 1407569023
Behavior Analyst in Cass City, MI

Q: What is Nicole Severn's NPI number?

The NPI number for Nicole Severn is 1407569023. It was assigned to this individual provider in the NPPES registry on December 28, 2022.

Q: What is Nicole Severn's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Severn was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2022PECOS Enrolled

6627 ROSE ST, CASS CITY, MI 48726(989) 872-3834(989) 839-4451 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2026, Dec 28, 2022 (2 updates tracked since 2022).

On this page

About Nicole Severn Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE SEVERN BCBA (NPI 1407569023) is an individual behavior analyst provider in Cass City, Michigan, licensed in Michigan (7401002991) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407569023

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameNICOLE SEVERNCredential: BCBA

Location Address6627 ROSE STCass City, MI 48726-1262

Mailing Address6627 Rose StCass City, MI 48726-1262 · (989) 872-3834 · Fax (989) 839-4451

Phone(989) 872-3834

Fax(989) 839-4451

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 28, 2022

Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1407569023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in MI · 7401002991

Definition

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.

6627 ROSE ST, Cass City, MI 48726

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Severn Bcba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416444914

PECOS Enrollment IDI20251017000468

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKLYNN BARTON BT

Behavior Technician