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NICOLE MARIE POPOW BCBA
NPI 1619645900
Behavior Analyst in South Bend, IN

Active since September 01, 2021
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615(574) 289-4831(574) 289-4831 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2026, Oct 31, 2022 (2 updates tracked since 2022).

About Nicole Marie Popow Bcba NPPES

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

NICOLE MARIE POPOW BCBA (NPI 1619645900) is an individual behavior analyst provider in South Bend, Indiana, licensed in Indiana (1-22-62320) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1619645900
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameNICOLE MARIE POPOWCredential: BCBA
Location Address2505 E JEFFERSON BLVDSouth Bend, IN 46615-2635
Mailing Address2505 E Jefferson BlvdSouth Bend, IN 46615-2635 · (630) 877-7748
Phone(574) 289-4831
Fax(574) 289-4831
Sole ProprietorNo
Enumeration DateSeptember 1, 2021
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1619645900 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 IN · 1-22-62320
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.
2505 E JEFFERSON BLVD, South Bend, IN 46615
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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.

LYNN M SAYRE MSW
Social Worker
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-4831
ELLEN JEAN EATON OTR
Occupational Therapist
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-3945
CAMRON BRYCE HOOTON
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-4831
RHIANNON MAY MCCULLOUGH
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-4831
LYLA BRENNEMAN
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-4831
ALEXOUS BROWN
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-4831
TANIA ANDERSON
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-4831
SARAH BAKER
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 289-4831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Popow's NPI number?

The NPI number for Nicole Popow is 1619645900. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Nicole Popow located?

Nicole Popow practices at 2505 E Jefferson Blvd, South Bend, IN 46615. The listed phone number is (574) 289-4831.

What is Nicole Popow's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Popow was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.