Active NPI
Kathleen Lois Wiley, BCABA
- Behavior Analyst
- Reno, NV
National Provider Identifier
1265937874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA0765
- Practice address
- 401 W 2ND St
Reno, NV 89503-5345 - Phone
- (775) 391-0749
- NPI assigned
- Mar 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBA0765 | NV | Primary |
Addresses
Primary practice location
401 W 2ND St
Reno, NV 89503-5345
Mailing address
1664 N Virginia St
Reno, NV 89503-0705
Phone (775) 391-0749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LBC0765 | Other | NV | LICENSED BEHAVIOR ANALYST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LBA0765 | NV | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Collective Learning Consultants | Behavior Analyst | Past | Accepting new patients |
| Board of Regents, Nevada System of Higher Education | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Reno, NV
- NPI 1639654932
-
- Behavior Analyst
- Sparks, NV
- NPI 1760903587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1265937874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 N VIRGINIA ST",
"city": "RENO",
"state": "NV",
"postal_code": "895030705",
"telephone_number": "775-391-0749",
"fax_number": "775-432-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W 2ND ST",
"city": "RENO",
"state": "NV",
"postal_code": "895035345",
"telephone_number": "775-391-0749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "KATHLEEN",
"middle_name": "LOIS",
"credential": "BCABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "LBA0765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED BEHAVIOR ANALYST",
"identifier": "LBC0765",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.