IndividualActive
Katelyn Nicklow, M.S., BCBA
NPI 1104477769 · Behavior Analyst · Philadelphia, PA
Katelyn Nicklow, M.S., BCBA is a Behavior Analyst provider in Philadelphia, PA (NPI 1104477769).
Provider details
- NPI number
- 1104477769
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- M.S., BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 1-19-37911 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2035 S 4th St
Philadelphia, PA 19148-2550
Phone: (724) 630-5785
Street-level locationGet directions
Mailing address
306 N Kensington Ave
La Grange Park, IL 60526-1870
Registry dates
- Enumerated
- 2019-09-25
- Last updated
- 2019-09-25
Frequently asked questions
- What is Katelyn Nicklow's NPI number?
- Katelyn Nicklow's National Provider Identifier (NPI) is 1104477769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katelyn Nicklow's specialty?
- Katelyn Nicklow is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Katelyn Nicklow located?
- Katelyn Nicklow's practice location on file with NPPES is 2035 S 4th St, Philadelphia, PA 19148-2550.
- What is Katelyn Nicklow's phone number?
- The practice phone number listed in the NPPES registry for Katelyn Nicklow is (724) 630-5785.
- Is Katelyn Nicklow's NPI active?
- Yes — Katelyn Nicklow's NPI (1104477769) is active in the NPPES registry as of the last update on 2019-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.