Active NPI
Nicole Marie Petuya
- Behavior Analyst
- Reno, NV
National Provider Identifier
1780077115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 130394
- Practice address
- 855 Mill St
Reno, NV 89502-1696 - Phone
- (775) 501-8655
- NPI assigned
- Mar 10, 2015
- 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 | 130394 | NV | Primary |
Addresses
Primary practice location
855 Mill St
Reno, NV 89502-1696
Mailing address
7175 Indigo Cir
Reno, NV 89506-1765
Phone (775) 400-5595
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 |
|---|---|---|---|
| 130394 | NV | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1780077115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7175 INDIGO CIR",
"city": "RENO",
"state": "NV",
"postal_code": "895061765",
"telephone_number": "775-400-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 MILL ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021696",
"telephone_number": "775-501-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETUYA",
"first_name": "NICOLE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-10",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "130394",
"primary": true
}
],
"identifiers": [],
"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 Jan 30, 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.