Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE ASHLEY PETILLO, BCBA, LBA
Active Sole ProprietorNICOLE ASHLEY PETILLO, BCBA, LBA is a Behavior Analyst healthcare provider located in CORAM, New York. NPI 1366271843 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · CORAM, NY
Registration Details
- NPI Number
- 1366271843
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2024 (2.0606805959737 yrs)
- Last Updated
- Mar 18, 2025
- License
-
004157 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5 FILLMORE CTCORAM, NY, 117273910Browse NY providers · Browse ZIP 11727
- Phone
- 7188441406
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in CORAM, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. ELIZABETH RATNAMALA BENJAMIN | NURSE PRACTIONER | 1629382114 |
| HOLLEY YOUNG | — | 1376092239 |
| LISA MARIE ISAAC | — | 1265075774 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.