Taylor Petrillo

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

LABA445

Practice address

10422 Cherry Brook St
Las Vegas, NV 89183-7000

Phone

(702) 423-0191

NPI assigned

Feb 4, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Reset Behavior LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1841800554
  NPD (past)

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1942954391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7821 STONE FOREST ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10422 CHERRY BROOK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837000",
            "telephone_number": "702-423-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRILLO",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "LABA445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Rose Petri
• Claranna Petrie, M.A., MFT
• Justin Petrie, D.O.
• Natasha Petrie, DDS
• Selena Petriken
• Sharleen May Petrin
• Kimberly Sue Petrini
• Richard Petrini
• Priscilla Strawberry Petro
• Lacey Petrocco

• Assistant Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Assistant Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.