NICOLE ELLISH (BCBA) – Behavior Analyst, NPI 1689107716

NICOLE ELLISH (BCBA) is a healthcare provider. based in Cary, Illinois. specializing in Behavior Analyst. They hold the professional credentials BCBA. They hold a License No. 11725028 (IL). The NPI Number for NICOLE ELLISH (BCBA) is 1689107716

Main info

Female
Sole Proprietor
Name
NICOLE ELLISH (BCBA)
NPI
1689107716
Phone
(224) 639-9979
Address
6116 Lake Shore Dr
Enumeration Date
5 April 2017
Last Update Date
3 October 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for NICOLE ELLISH (BCBA)

  • 6116 Lake Shore Dr

    Cary, IL 600131270

    Phone: (224) 639-9979

    Type: Location

  • 18550 W Millburn Rd

    Old Mill Creek, IL 600839248

    Phone: (803) 905-4427

    Fax: (803) 905-4431

    Type: Location

  • PO BOX 51322

    BOWLING GREEN, KY 421025622

    Phone: (270) 777-9283

    Fax: (270) 777-9283

    Type: Mailing

  • Pleasant Prairie Renaissance School, 10450, 72nd Avenue, Pleasant Prairie, Kenosha County, Wisconsin, 53158, United States

    PLEASANT PRAIRIE, WI 531582911

    Phone: (262) 657-6453

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60013)

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Reviews

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Frequently asked questions

What is the standard ID for NICOLE ELLISH (BCBA) in the U.S.?
In the U.S., NICOLE ELLISH (BCBA) is identified by NPI 1689107716.
Is NICOLE ELLISH (BCBA)'s NPI status active today?
Active status means NICOLE ELLISH (BCBA)'s NPI record is not deactivated in the public file.
What type of care does NICOLE ELLISH (BCBA) provide?
NICOLE ELLISH (BCBA)'s profile centers on Behavior Analyst. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NICOLE ELLISH (BCBA)?
NICOLE ELLISH (BCBA) is associated with Cary, Illinois in the same public data insurers reference.
Can I export NICOLE ELLISH (BCBA)'s record?
You can download the official NPPES record; we summarize key fields for readability.