Provider Demographics
NPI:1255874673
Name:FEHER, NICHOLE (BCABA)
Entity type:Individual
Prefix:
First Name:NICHOLE
Middle Name:
Last Name:FEHER
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:NICHOLE
Other - Middle Name:
Other - Last Name:CRAIG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:429 WASHINGTON AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-2350
Mailing Address - Country:US
Mailing Address - Phone:412-319-7371
Mailing Address - Fax:888-271-0474
Practice Address - Street 1:429 WASHINGTON AVE STE 3
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2350
Practice Address - Country:US
Practice Address - Phone:412-319-7371
Practice Address - Fax:888-271-0474
Is Sole Proprietor?:No
Enumeration Date:2016-12-02
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106E00000X
WACG60709311101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No101Y00000XBehavioral Health & Social Service ProvidersCounselor