BREELYN RAINE PETTY MS, BCBA
NPI 1285243485
Behavior Analyst in Litchfield Park, AZ
NPI Status: Active since July 24, 2020
Contact Information
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
Phone: (623) 244-9179
Fax: (317) 520-8200
- Individual
- Female
- Behavior Analyst
- Accepts Insurance
About BREELYN PETTY
This page provides the complete NPI Profile along with additional information for Breelyn Petty, a provider established in Litchfield Park, Arizona with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1285243485 assigned on July 2020. The practitioner's primary taxonomy code is 103K00000X with license number BEH-000788 (AZ). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1285243485
- Provider Name
- BREELYN RAINE PETTY MS, BCBA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5220 N DYSART RD BLDG C LITCHFIELD PARK, AZ 85340
- Location Phone
- (623) 244-9179
- Location Fax
- (317) 520-8200
- Mailing Address
- 3500 DEPAUW BLVD STE 3070 INDIANAPOLIS, IN 46268
- Mailing Phone
- (855) 324-0885
- Mailing Fax
- (317) 520-8200
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-24-2020
- Last Update Date
- 08-26-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Analyst
- Taxonomy Code
- 103K00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- BEH-000788
- License State
- AZ
- Taxonomy Description
- A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician | RBT-19-108925 (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Blue ACA StandardHealth Silver with Health Choice - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Connect Bronze 6800 Indiv Med Deductible - HMO
- Connect Bronze 8900 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold 2500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver 5000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1-21-50507 | OTHER (01) | BCBA CERTIFICATE |
Reviews for BREELYN RAINE PETTY MS, BCBA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 2 | 4 | 3 | 4 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 4 | 4 | 6 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 4 + 4 + 6 + 4 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1285243485 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
HOPEBRIDGE LLC
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
ASHLEY MARIA LUZINSKI MSED, BCBA, BHP
Behavior Analyst
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
TAKASIA ALAE MCDANIEL BA, RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
STEPHANIE RENEE HARTMAN RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
GERARDO MARTINEZ RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
JAY WALROD RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
YAMILETH CHAVEZ RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
TAYLOR WILSON RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
CAMILA AYALA-SANTOS RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
JAMIE GARCIA RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
ALEXIS SANDERSW RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
BRIANNA CALLAHAN RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
YVETTE SCAFFIDI RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
SARAH SMITH RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
AMBER MAY RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
EMILY ROMANOWSKI RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
KADI HEEKIN RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
DAISY MAGANA RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
ASHLEY BYRUM RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
MARIA SALAZAR RBT
Behavior Technician
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ
ZIP 85340
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285243485, enumerated as an "individual" on July 24, 2020.
The provider is located at 5220 N DYSART RD BLDG C LITCHFIELD PARK, AZ 85340 and the phone number is (623) 244-9179.
Behavior Analyst with taxonomy code 103K00000X.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health,. Please consult your insurance carrier or call the provider to verify.
