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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTHONY DWAIN PETTUS JR.

Active

ANTHONY DWAIN PETTUS JR. is a Behavior Technician healthcare provider located in MADISON, Alabama. NPI 1023518214 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · MADISON, AL

Registration Details

NPI Number
1023518214
Provider Type
Individual
Gender
Male
NPI Issued
Feb 14, 2018 (8.4615401251129 yrs)
Last Updated
Jun 12, 2019
License
19-88268 (AL)

Practice Information

Address
100 SPENRYN DR
MADISON, AL, 357581890
Browse AL providers · Browse ZIP 35758
Phone
2567724400
Primary Specialty
Behavior Technician
106S00000X
Additional Specialty
Behavior Technician

Other Behavior Technician Providers in MADISON, AL

Name Credential NPI
MARIO J VEGA RBT 1275192437
CHRISTOPHER COLEMAN RBT 1396304556
KYLE N CLARK RBT 1669031829
MASON VANVALKENBURGH RBT 1699334714
JULIE MARTINEZ RBT 1417516535
BRIANNA ROBINSON RBT 1811556921
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.