Individual
CHRISTINA AMELIA PETTIGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1069 HEMPSTEAD TPKE, FRANKLIN SQUARE, NY 11010-2631
(516) 865-1146
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11074774
—
NY
Enumeration date
10/07/2021
Last updated
10/07/2021
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