Individual provider · Type 1 NPI
Robert Pettibone, BCBA
Behavior Analyst · Fort Wayne, IN
Practice location
4719 S Calhoun St
Fort Wayne, IN 46807-2811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-19-40238 (IN) |
Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…
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About NPI 1154917052
Robert Pettibone, BCBA's National Provider Identifier is 1154917052, issued on Dec 15, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 13, 2021.