IndividualActive
Ebony Pettigrew
NPI 1669341871 · Behavior Technician · Bruceton, TN
Ebony Pettigrew is a Behavior Technician provider in Bruceton, TN (NPI 1669341871).
Provider details
- NPI number
- 1669341871
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% 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
29639 Broad St
Bruceton, TN 38317-2203
Phone: (925) 727-3712
Street-level locationGet directions
Mailing address
277 E Amador Ave Ste 101
Las Cruces, NM 88001-3675
Registry dates
- Enumerated
- 2025-11-04
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Frequently asked questions
- What is Ebony Pettigrew's NPI number?
- Ebony Pettigrew's National Provider Identifier (NPI) is 1669341871, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebony Pettigrew's specialty?
- Ebony Pettigrew is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Ebony Pettigrew located?
- Ebony Pettigrew's practice location on file with NPPES is 29639 Broad St, Bruceton, TN 38317-2203.
- What is Ebony Pettigrew's phone number?
- The practice phone number listed in the NPPES registry for Ebony Pettigrew is (925) 727-3712.
- Is Ebony Pettigrew's NPI active?
- Yes — Ebony Pettigrew's NPI (1669341871) is active in the NPPES registry as of the last update on 2025-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.