Individual provider · Type 1 NPI
Katherine A. Petefish, LMSW, LCPC, BCBA LBA
Behavior Analyst · Festus, MO
Practice location
10719 Buckeye Rd
Festus, MO 63028-2960
Fax (636) 789-9062
Other practice locations
- 171 Roberts Dr, Hillsboro, MO 63050-4120 · (314) 297-0793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 180009917 (IL) |
| Behavior Analyst | 103K00000X | 11517918 (IA) |
| Social Worker | 104100000X | 008326 (IA) |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Behavior Analyst Primary | 103K00000X | 2015044940 (MO) |
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…
3 other providers at this address
About NPI 1487096012
Katherine A. Petefish, LMSW, LCPC, BCBA LBA's National Provider Identifier is 1487096012, issued on Jul 24, 2013. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Festus, MO. The record was last updated on May 12, 2020.