Active NPI
Nicholas Kyle Reetz, BCBA
- Behavior Analyst
- Chicago, IL
National Provider Identifier
1306233226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 152.000310
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 152.000310 | IL | MD | Behavioral Analyst |
| COBA.00483 | OH | MD | Behavioral 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.