# ALYSSA CHRISTINE PETROWSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205246055
- **Gender:** F
- **Credential:** MA, BCBA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | 11314712 | IN | — |
| 103K00000X | Behavior Analyst | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2014
- **Last updated:** 03/07/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1-13-14712 | BCBA CERTIFICATION | — |