Provider Demographics
NPI:1225918089
Name:HAYDEN, NICHOLAS PAUL (BCBA)
Entity type:Individual
Prefix:MS
First Name:NICHOLAS
Middle Name:PAUL
Last Name:HAYDEN
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20845 MACK AVE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-1456
Mailing Address - Country:US
Mailing Address - Phone:313-580-9716
Mailing Address - Fax:313-332-0493
Practice Address - Street 1:20845 MACK AVE
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-1456
Practice Address - Country:US
Practice Address - Phone:313-580-9716
Practice Address - Fax:313-332-0493
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst