Nicole Wassom

NPI 1952940652 · on the registry since 2019 · sole proprietor

Practice

Address: 180 N University Ave Ste 270
Provo, UT 84601
Phone: (385) 442-5895
Organisation at this address: Pro Health Supply
Dr. Frances Liu Llc
Rise Pediatrics Pllc
Utah Autism Care Llc
Gold Plus Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 37

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah