Individual provider · Type 1 NPI

Lisa M. Pettis

Behavior Technician · Clarksville, TN

NPI number 1972484137 Active

Practice location

2965 Fort Campbell Blvd
Clarksville, TN 37042-7798

Call (931) 271-4850 Map

Mailing address

5020 Gunn Hwy
Tampa, FL 33624-6379

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 1972484137

Lisa M. Pettis's National Provider Identifier is 1972484137, issued on Sep 11, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Clarksville, TN. The record was last updated on Sep 11, 2025.