Christina L Pettengill, MA, BCBA, LBA
Behavior Analyst in Vernon, Connecticut
1417604521- Practice location
- 32 Lily Ln, Vernon, CT 06066-5269
- Phone
- 860-461-5262
- Fax
- —
- Last updated
- March 8, 2022
Christina Lynn Pettengill is a Behavior Analyst based in Vernon, CT. Christina Lynn Pettengill practices in Vernon, CT and has the professional credentials of MA, BCBA, LBA. The NPI Number for Christina Lynn Pettengill is 1417604521 and holds a License No. 1411 (CT). The current practice location address for Christina Lynn Pettengill is 32 Lily Ln, Vernon, CT 06066-5269 and can be reached out via phone at 860-461-5262.
Provider Profile Details
- NPI Number
- 1417604521
- Provider Name
- Christina Lynn Pettengill
- Credential
- MA, BCBA, LBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 32 Lily Ln, Vernon, CT 06066-5269
- Phone Number
- 860-461-5262
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 8, 2022
- Last Update Date
- March 8, 2022
- Certification Date
- March 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 32 Lily Ln
Vernon, CT 06066-5269 - City
- Vernon
- State
- Connecticut
- Zip
- 06066-5269
- Phone Number
- 860-461-5262
Provider Business Mailing Address Details
- Address
- 32 Lily Ln
Vernon, CT 06066-5269 - City
- Vernon
- State
- CT
- Zip
- 06066-5269
- Phone Number
- 860-461-5262
License Information
- License Number
- 1411
- License State
- CT
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Christina L Pettengill, MA, BCBA, LBA?
The NPI number of Christina L Pettengill, MA, BCBA, LBA is 1417604521. It was assigned on March 8, 2022 and is currently active in the NPPES registry.
What is the specialty of Christina L Pettengill, MA, BCBA, LBA?
Christina L Pettengill, MA, BCBA, LBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in CT under license number 1411.
Where does Christina L Pettengill, MA, BCBA, LBA practice?
The practice location is 32 Lily Ln, Vernon, CT 06066-5269. The office can be reached at 860-461-5262 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417604521 directly on the NPPES registry website.