NICOLE ASHLEY PETILLO BCBA, LBA
NPI 1366271843
Behavior Analyst in Coram, NY

Q: What is Nicole Petillo's NPI number?

The NPI number for Nicole Petillo is 1366271843. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Q: What is Nicole Petillo's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Petillo was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 31, 2024

5 FILLMORE CT, CORAM, NY 11727(718) 844-1406 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 18, 2025, Jul 31, 2024 (2 updates tracked since 2024).

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About Nicole Ashley Petillo Bcba, Lba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ASHLEY PETILLO BCBA, LBA (NPI 1366271843) is an individual behavior analyst provider in Coram, New York, licensed in New York (004157) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1366271843

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameNICOLE ASHLEY PETILLOCredential: BCBA, LBA

Location Address5 FILLMORE CTCoram, NY 11727-3910

Mailing Address5 Fillmore CtCoram, NY 11727-3910

Phone(718) 844-1406

Sole ProprietorYes

Enumeration DateJuly 31, 2024

Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration

NPPES CertifiedMarch 18, 2025

✔ NPI 1366271843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in NY · 004157

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X

5 FILLMORE CT, Coram, NY 11727

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Petillo's NPI number?

The NPI number for Nicole Petillo is 1366271843. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Nicole Petillo located?

Nicole Petillo practices at 5 Fillmore Ct, Coram, NY 11727. The listed phone number is (718) 844-1406.

What is Nicole Petillo's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Nicole Petillo was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.