Individual provider · Type 1 NPI

Melissa Graves Petry Melissa

Behavior Technician · Fort Wayne, IN

NPI number 1275324832 Active

Practice location

4410 Executive Blvd
Fort Wayne, IN 46808-1135

Call (888) 515-1793 Map

Mailing address

11585 S 540 E
Ferdinand, IN 47532-9463

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 1275324832

Melissa Graves Petry Melissa's National Provider Identifier is 1275324832, issued on May 14, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fort Wayne, IN. The record was last updated on May 14, 2025.