ANTHONY DWAIN PETTUS JR.
NPI 1023518214
Behavior Technician in Madison, AL

Active since February 14, 2018
100 SPENRYN DR, MADISON, AL 35758(256) 772-4400 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2019, Feb 14, 2018 (2 updates tracked since 2018).

About Anthony Dwain Pettus Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY DWAIN PETTUS JR. (NPI 1023518214) is an individual behavior technician in Madison, Alabama, licensed in Alabama (19-88268) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1023518214
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameANTHONY DWAIN PETTUS JR.
Location Address100 SPENRYN DRMadison, AL 35758-1890
Mailing Address100 Spenryn DrMadison, AL 35758-1890 · (256) 772-4400
Sole ProprietorNo
Enumeration DateFebruary 14, 2018
Last NPPES UpdateJune 12, 20192 updates tracked since enumeration
NPI 1023518214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in AL · 19-88268
Definition
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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
100 SPENRYN DR, Madison, AL 35758

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
100 SPENRYN DR
MADISON, AL 35758
Behavior Technician
100 SPENRYN DR
MADISON, AL 35758
Behavior Technician
100 SPENRYN DR, APPLIED BEHAVIORAL CONCEPTS
MADISON, AL 35758
Behavior Technician
100 SPENRYN DR
MADISON, AL 35758
Behavior Technician
100 SPENRYN DR
MADISON, AL 35758
Behavior Technician
100 SPENRYN DR
MADISON, AL 35758
Behavior Technician
100 SPENRYN DR
MADISON, AL 35758
Behavior Technician
100 SPENRYN DR
MADISON, AL 35758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Pettus's NPI number?

The NPI number for Anthony Pettus is 1023518214. It was assigned to this individual provider in the NPPES registry on February 14, 2018.

Where is Anthony Pettus located?

Anthony Pettus practices at 100 Spenryn Dr, Madison, AL 35758. The listed phone number is (256) 772-4400.

What is Anthony Pettus's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Anthony Pettus was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.