What is Robert Pettibone's NPI number?

Robert Pettibone's National Provider Identifier (NPI) is 1154917052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Robert Pettibone's specialty?

Robert Pettibone is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).

Where is Robert Pettibone located?

Robert Pettibone's practice location on file with NPPES is 4719 S Calhoun St, Fort Wayne, IN 46807-2811.

What is Robert Pettibone's phone number?

The practice phone number listed in the NPPES registry for Robert Pettibone is (260) 705-0522.

Is Robert Pettibone's NPI active?

Yes — Robert Pettibone's NPI (1154917052) is active in the NPPES registry as of the last update on 2021-08-13.

IndividualActive

Robert Pettibone, BCBA

NPI 1154917052 · Behavior Analyst · Fort Wayne, IN

Robert Pettibone, BCBA is a Behavior Analyst provider in Fort Wayne, IN (NPI 1154917052).

Provider details

NPI number: 1154917052
Entity type: Individual
Primary specialty: Behavior AnalystBehavioral Health & Social Service Providers
Credential: BCBA
Sex: Male
Sole proprietor: Yes
License: 1-19-40238 (IN)

Specialties & taxonomies

Behavior AnalystPrimary103K00000XLicense 1-19-40238 (IN)
Behavioral Health & Social Service Providers

Profile Score

Established profile(63/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4719 S Calhoun St

Fort Wayne, IN 46807-2811

Phone: (260) 705-0522

Street-level locationGet directions

Mailing address