Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Severn, BCBA

Individual provider Behavior Analyst · NPI 1407569023

Nicole Severn, BCBA is an Undefined Non-Physician Type (Specify) in Cass City, Michigan. Qualified in 2025, 1 year ago. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2022
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

6627 Rose St
Cass City, MI 48726-1262
Phone: (989) 872-3834
Fax: (989) 839-4451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 7401002991 (MI)

Record details

NPI number1407569023
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedDecember 28, 2022
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address6627 Rose St, Cass City, MI 48726-1262

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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