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JULIE PETTIBONE
NPI 1790339737
Behavior Analyst in Fort Wayne, IN

Active since July 29, 2019
4719 S CALHOUN ST, FORT WAYNE, IN 46807(260) 579-6248 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Julie Pettibone NPPES

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

JULIE PETTIBONE (NPI 1790339737) is an individual behavior analyst provider in Fort Wayne, Indiana and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1790339737
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJULIE PETTIBONE
Location Address4719 S CALHOUN STFort Wayne, IN 46807-2811
Mailing Address4719 S Calhoun StFort Wayne, IN 46807-2811 · (260) 579-6248
Phone(260) 579-6248
Sole ProprietorYes
Enumeration DateJuly 29, 2019
✔ NPI 1790339737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
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.
4719 S CALHOUN ST, Fort Wayne, IN 46807
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

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

ROBERT PETTIBONE BCBA
Behavior Analyst
4719 S CALHOUN ST
FORT WAYNE, IN 46807
Allen County (260) 705-0522

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 Julie Pettibone's NPI number?

The NPI number for Julie Pettibone is 1790339737. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is Julie Pettibone located?

Julie Pettibone practices at 4719 S Calhoun St, Fort Wayne, IN 46807. The listed phone number is (260) 579-6248.

What is Julie Pettibone's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Julie Pettibone accept?

Health plans from Highmark Blue Cross Blue Shield Delaware and Providence Health Plan list Julie Pettibone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Julie Pettibone was last updated on July 29, 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.