Individual provider Active NPI

Nicholas Kyle Reetz, BCBA

  • Behavior Analyst
  • Chicago, IL
National Provider Identifier
1306233226
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
152.000310 Issued in IL
Practice address
2400 N Sheffield Ave
Chicago, IL 60614-3936
Phone
(773) 389-2202
Fax
(773) 688-3547
NPI assigned
Apr 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 152.000310 IL Primary
Behavior Analyst 103K00000X COBA.00483 OH

Addresses

Primary practice location

2400 N Sheffield Ave
Chicago, IL 60614-3936

Mailing address

2400 N Sheffield Ave
Chicago, IL 60614-3936
Phone (773) 389-2202

Other practice location 1

18765 SW Boones Ferry Rd Ste 100
Tualatin, OR 97062-8607
Phone (503) 233-5405

Other practice location 2

2540 Billingsley Rd
Columbus, OH 43235-1990
Phone (614) 470-2018

Other practice location 3

1942 Embarcadero
Oakland, CA 94606-5213
Phone (510) 832-4383

Other practice location 4

1233 W Adams St
Chicago, IL 60607-2801
Phone (312) 241-1204

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

LicenseStateTypeSpecialty
152.000310ILMDBehavioral Analyst
COBA.00483OHMDBehavioral Analyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1306233226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N SHEFFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143936",
            "telephone_number": "773-389-2202",
            "fax_number": "773-688-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N SHEFFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143936",
            "telephone_number": "773-389-2202",
            "fax_number": "773-688-3547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18765 SW Boones Ferry Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970628607",
            "country_code": "US",
            "telephone_number": "503-233-5405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2540 Billingsley Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432351990",
            "country_code": "US",
            "telephone_number": "614-470-2018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1942 Embarcadero",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946065213",
            "country_code": "US",
            "telephone_number": "510-832-4383",
            "fax_number": "510-550-1981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1233 W Adams St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606072801",
            "country_code": "US",
            "telephone_number": "312-241-1204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REETZ",
        "first_name": "NICHOLAS",
        "middle_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "152.000310",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.00483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.