Individual provider · Type 1 NPI

Ellen Petulla

Behavior Technician · Mansfield, OH

NPI number 1205564457 Active

Practice location

1033 Larchwood Rd
Mansfield, OH 44907-2424

Call (419) 747-4122 Map

Fax (419) 747-4126

Mailing address

9150 Ross Rd
Mansfield, OH 44903-8553

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1205564457

Ellen Petulla's National Provider Identifier is 1205564457, issued on Aug 14, 2022. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Mansfield, OH. The record was last updated on Aug 14, 2022.