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NICOLE WASSOM
NPI 1952940652
Behavior Analyst in Provo, UT

Active since December 27, 2019
180 N UNIVERSITY AVE STE 270, PROVO, UT 84601(385) 442-5895 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 6, 2026, Dec 27, 2019 (2 updates tracked since 2019).

About Nicole Wassom NPPES

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

NICOLE WASSOM (NPI 1952940652) is an individual behavior analyst provider in Provo, Utah, licensed in Utah (14265002-2506) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1952940652
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameNICOLE WASSOM
Location Address180 N UNIVERSITY AVE STE 270Provo, UT 84601-5648
Mailing Address180 N University Ave Ste 270Provo, UT 84601-5648 · (385) 442-5895
Phone(385) 442-5895
Sole ProprietorYes
Enumeration DateDecember 27, 2019
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1952940652 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 UT · 14265002-2506
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.
180 N UNIVERSITY AVE STE 270, Provo, UT 84601
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

LINDA MICHELLE MALDONADO
Behavior Technician
180 N UNIVERSITY AVE STE 270
PROVO, UT 84601
Utah County (818) 241-6780
TRAVELING SISTERS HOME HEALTH & MEDICAL LLC
Home Health
180 N UNIVERSITY AVE STE 270
PROVO, UT 84601
Utah County (385) 309-3914
GOLD PLUS THERAPY LLC
Community/Behavioral Health
180 N UNIVERSITY AVE STE 270
PROVO, UT 84601
Utah County (404) 482-2686
MS. ACACIA MARIE BALLIF
Behavior Technician
180 N UNIVERSITY AVE STE 270
PROVO, UT 84601
Utah County (818) 241-6780
PRO HEALTH SUPPLY
Durable Medical Equipment & Medical Supplies
180 N UNIVERSITY AVE STE 270
PROVO, UT 84601
Utah County (801) 940-3205
MS. ADRIENNE ELIZABETH TAYLOR
Behavior Technician
180 N UNIVERSITY AVE STE 270
PROVO, UT 84601
Utah County (818) 241-6780
EMILY MEGAN JEFFERIES
Behavior Technician
180 N UNIVERSITY AVE STE 270
PROVO, UT 84601
Utah County (818) 241-6780
PATSY GIBBS MS, BCBA
Behavior Analyst
180 N UNIVERSITY AVE STE 270
PROVO, UT 84601
Utah County (801) 473-8688

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 Wassom's NPI number?

The NPI number for Nicole Wassom is 1952940652. It was assigned to this individual provider in the NPPES registry on December 27, 2019.

Where is Nicole Wassom located?

Nicole Wassom practices at 180 N University Ave Ste 270, Provo, UT 84601. The listed phone number is (385) 442-5895.

What is Nicole Wassom'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 Wassom was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.