Jason Pettit, RBT
Behavior Technician in Tampa, FL. Individual provider (NPI-1).
NPI number1215519525
StatusActive
Last updated in NPPESApr 26, 2021
Details
- NPI
- 1215519525
- Entity type
- Individual (NPI-1)
- Name
- Jason Pettit
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2021
- Certification date
- Apr 26, 2021
- Last updated
- Apr 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4817 Ehrlich RdTampa, FL 33624-2037
Phone 877-823-4283 · Fax 352-332-8589
Mailing address
1824 Touby Pike Ste BKokomo, IN 46901-2573
Phone 765-628-7400 · Fax 855-940-0177
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