Provider Demographics
NPI:1700653086
Name:SELLA, NICOLE THERESE (MA, BCBA, LBA-WI)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:THERESE
Last Name:SELLA
Suffix:
Gender:F
Credentials:MA, BCBA, LBA-WI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 UNIVERSITY DR
Mailing Address - Street 2:SUITES HD
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701
Mailing Address - Country:US
Mailing Address - Phone:414-840-6025
Mailing Address - Fax:
Practice Address - Street 1:1620 OHM AVE
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4611
Practice Address - Country:US
Practice Address - Phone:715-514-2555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-07
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1205-140103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst