Provider Demographics
NPI:1639701402
Name:TOPIE, NICOLE RENEE (BCBA)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:RENEE
Last Name:TOPIE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 E SPRINGFIELD AVE STE H
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-2954
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1373 S BAKER LN
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-4609
Practice Address - Country:US
Practice Address - Phone:208-516-1514
Practice Address - Fax:855-595-2480
Is Sole Proprietor?:No
Enumeration Date:2020-02-10
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-21-53349103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst