Individual
ALYSSA CHRISTINE PETROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
4126 S 7TH ST, TERRE HAUTE, IN 47802-4123
(812) 645-2308
(765) 454-9759
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 454-9759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
11314712
IN
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-14712
BCBA CERTIFICATE
—
Enumeration date
05/02/2014
Last updated
03/07/2018
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