Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHERINE A PETEFISH, LMSW, LCPC, BCBA LBA
Active Sole ProprietorKATHERINE A PETEFISH, LMSW, LCPC, BCBA LBA is a Behavior Analyst healthcare provider located in FESTUS, Missouri. NPI 1487096012 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · FESTUS, MO
Registration Details
- NPI Number
- 1487096012
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2013 (13.079576891096 yrs)
- Last Updated
- May 12, 2020
- Licenses
-
180009917 (IL)11517918 (IA)008326 (IA)2015044940 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10719 BUCKEYE RDFESTUS, MO, 630282960Browse MO providers · Browse ZIP 63028
- Phone
- 3143197098
- Fax
- 6367899062
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
- Additional Specialty
- Social Worker
- Additional Specialty
- Community/Behavioral Health
- Additional Specialty
- Behavior Analyst
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.