Provider Demographics
NPI:1013431568
Name:PETRE, YANIE
Entity Type:Individual
Prefix:
First Name:YANIE
Middle Name:
Last Name:PETRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1545 S. WELLS AVE
Mailing Address - Street 2:SUTE #112
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502
Mailing Address - Country:US
Mailing Address - Phone:775-448-6233
Mailing Address - Fax:775-688-9844
Practice Address - Street 1:1545 S WELLS AVE STE 112
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2954
Practice Address - Country:US
Practice Address - Phone:775-448-6233
Practice Address - Fax:775-688-9844
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst