Nicole Krushinski, MED, BCBA, COBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-23807 Issued in OH

Practice address

18151 Jefferson Park Rd
Cleveland, OH 44130-3496

Phone

(330) 967-0325

Fax

(317) 520-8200

NPI assigned

May 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Petrella Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• ABA Outreach Services

  • Behavior Analyst
  • Independence, OH
  • NPI 1659722981
  NPD (past)

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1932637428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18151 JEFFERSON PARK RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303496",
            "telephone_number": "330-967-0325",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSHINSKI",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MED, BCBA, COBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.287",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-16-23807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PETRELLA",
            "credential": "MED, BCBA, COBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael T Krupa, CRNA
• Diane Louise Krupka
• Richard Scott Krupkin, MD
• Lauren Rebecca Kruse, MS, RD, LD
• Megan Lynn Kruse, M.D.
• Myra Kruzer
• Pamela Kryc
• Candice Marie Krych, CNP
• Alison Rae Krywanczyk, MD
• Anna Kathryn Krzan, L.P.C.

• Behavior Analyst in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.