Katherine Petrusa
Behavior Analyst · Leesburg, FL
Practice location
1650 W Main StLeesburg, FL 34748-2841
- Phone
- (352) 314-3760
NPI record
- NPI
- 1750855839
- Entity type
- Individual (Type 1)
- Enumeration date
- January 11, 2019
- Last updated
- August 15, 2023
- Certified
- August 15, 2023
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
11934528 | — |
| Behavior Technician | 106S00000X |
— | — |
Other practice locations (2)
- 6315 Bay Club Dr Apt 3, Fort Lauderdale, FL 33308-1626 · (815) 262-8466
- 738 Old Hunter Run, Byron, IL 61010-1430 · (815) 262-8466
About Katherine Petrusa
Katherine Petrusa is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1650 W Main St, Leesburg, FL 34748-2841. The NPI number 1750855839 was assigned on January 11, 2019 and the record was last updated on August 15, 2023.
Katherine Petrusa lists a license in the registry: #11934528 for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Katherine Petrusa?
The NPI number is 1750855839.
What is the phone number of Katherine Petrusa?
The phone number listed for the practice location is (352) 314-3760.
Where is Katherine Petrusa located?
1650 W Main St, Leesburg, FL 34748-2841.
What is the taxonomy code for Katherine Petrusa?
The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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