Active NPIIndividual provider

Ms. Michelle Petrongolo, PSYD, BCBA

Behavior Analyst in Sewell, New Jersey

NPI Number1447500574
Practice location
123 Egg Harbor RD Ste 302, Sewell, NJ 08080-9406
Fax
866-567-5687
Last updated
September 11, 2025

Michelle Petrongolo is a Behavior Analyst based in Sewell, NJ. Michelle Petrongolo practices in Sewell, NJ and has the professional credentials of PSYD, BCBA. The NPI Number for Michelle Petrongolo is 1447500574. The current practice location address for Michelle Petrongolo is 123 Egg Harbor RD Ste 302, Sewell, NJ 08080-9406 and can be reached out via phone at 856-278-6095 and via fax at 866-567-5687.

Provider Profile Details

NPI Number
1447500574
Provider Name
Michelle Petrongolo
Credential
PSYD, BCBA
Provider Entity Type
Individual
Gender
Female
Address
123 Egg Harbor RD Ste 302, Sewell, NJ 08080-9406
Phone Number
856-278-6095
Fax Number
866-567-5687
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
September 17, 2012
Last Update Date
September 11, 2025
Certification Date
February 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Egg Harbor RD Ste 302
Sewell, NJ 08080-9406
City
Sewell
Zip
08080-9406
Phone Number
856-278-6095
Fax Number
866-567-5687
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
123 Egg Harbor RD Ste 302
Sewell, NJ 08080-9406
City
Sewell
State
NJ
Zip
08080-9406
Phone Number
856-278-6095
Fax Number
866-567-5687

License Information

Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Michelle Petrongolo, PSYD, BCBA?

The NPI number of Ms. Michelle Petrongolo, PSYD, BCBA is 1447500574. It was assigned on September 17, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Michelle Petrongolo, PSYD, BCBA?

Ms. Michelle Petrongolo, PSYD, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Ms. Michelle Petrongolo, PSYD, BCBA practice?

The practice location is 123 Egg Harbor RD Ste 302, Sewell, NJ 08080-9406. The office can be reached at 856-278-6095 (phone) or 866-567-5687 (fax).

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 1447500574 directly on the NPPES registry website.

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