Individual provider · Type 1 NPI

Michael Petitte

Behavior Analyst · San Jose, CA

NPI number 1730755240 Active

Practice location

1101 S Winchester Blvd Ste B110
San Jose, CA 95128-3914

Call (408) 484-1028 Map

Mailing address

19498 Mount Lassen Dr
Castro Valley, CA 94552-1929

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	1-22-60067

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 1730755240

Michael Petitte's National Provider Identifier is 1730755240, issued on Jun 3, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in San Jose, CA. The record was last updated on Jun 26, 2023.