Individual
EMMA E PETTINGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11623 ANGUS RD STE E20, AUSTIN, TX 78759
(512) 827-7011
Mailing address
11623 ANGUS RD STE E20, AUSTIN, TX 78759-4003
(512) 827-7011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-21495
TX
103K00000X
Behavior Analyst
Primary
1033
TX
Other
Enumeration date
04/07/2016
Last updated
04/16/2019
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