Individual provider · Type 1 NPI

Michelle Petrongolo, PSY.D., BCBA

Behavior Analyst · Sewell, NJ

NPI number 1447500574 Active

Practice location

123 Egg Harbor Rd Ste 302
Sewell, NJ 08080-9406

Call (856) 278-6095 Map

Fax (866) 567-5687

Other practice locations

321 Fortune Blvd, Milford, MA 01757-1750 · (508) 478-0207

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed

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 1447500574

Michelle Petrongolo, PSY.D., BCBA's National Provider Identifier is 1447500574, issued on Sep 17, 2012. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Sewell, NJ. The record was last updated on Sep 11, 2025.