Emily Marie Petry

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BEH-001411 Issued in AZ

Practice address

1849 N Kolb Rd
Tucson, AZ 85715-4929

Phone

(512) 920-1030

NPI assigned

Feb 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1962968321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S MOPAC EXPY STE C300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467077",
            "telephone_number": "512-920-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 N KOLB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154929",
            "telephone_number": "512-920-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 E 91st St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741372862",
            "country_code": "US",
            "telephone_number": "918-730-9123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11412 N 134th East Ave Ste C3",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740554969",
            "country_code": "US",
            "telephone_number": "918-376-3087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 S 44th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681313727",
            "country_code": "US",
            "telephone_number": "402-559-8863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRY",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-23-68752",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-001411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiley Petro
• Celeste Styczynski Petronella, M.S., CCC-SLP
• Richard M Petronella, MD
• Shannon Dexter Petrovich, LCSW, LISAC
• Edward P. Petrow Jr., DO
• Philip Gary Pettett, MD
• Susan Petti, ED.S., NCSP
• Nancy Joyce Pettibon, CRNFA
• Dyer William Pettijohn, MD
• Brandon Angus Pettit, MD

• Behavior Analyst in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.