Individual provider · Type 1 NPI

Mary Ellen Petrous

Behavior Technician · Caruthersville, MO

NPI number 1740159839 Active

Practice location

910 Truman Blvd
Caruthersville, MO 63830-1713

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 1740159839

Mary Ellen Petrous's National Provider Identifier is 1740159839, issued on Nov 5, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Caruthersville, MO. The record was last updated on Nov 5, 2025.