{"npi":"1780236091","type":"NPI-1","status":"active","name":{"display":"Nicole Vedder Ma, Bcba, Lba","other":[],"first":"NICOLE","last":"VEDDER","middle":"JENEATH","credential":"MA, BCBA, LBA"},"specialty":{"primary_taxonomy":"103K00000X","primary_taxonomy_description":"Behavior Analyst","slug":"behavior-analyst","schema_org_specialty":null,"all":[{"code":"103K00000X","description":"Behavior Analyst","primary":false,"state":null,"license":null},{"code":"103K00000X","description":"Behavior Analyst","primary":true,"state":"AZ","license":"BEH-001099"}]},"addresses":[{"purpose":"LOCATION","street_1":"1350 W IRVINGTON RD","city":"TUCSON","state":"AZ","postal_code":"857464106","country_code":"US","phone":"5206667890"},{"purpose":"MAILING","street_1":"3310 N 19TH AVE","city":"PHOENIX","state":"AZ","postal_code":"850155701","country_code":"US","phone":"8557728847"}],"license":{"state":"AZ","number":"BEH-001099"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"A0003886","state":"ID","issuer":null},{"type_code":"01","label":"Other","value":"1-22-57496","state":null,"issuer":"BCBA CERTIFICATE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-07-16","last_updated":"2026-03-31","_meta":{"source":"NPPES","snapshot_date":"2026-03-31","doc_url":"https://findmynpi.com/api"}}