Search › Alabama › 106S00000X
Jeremy Petty
NPI 1336852698 · on the registry since 2023
Practice
- Address
- 100 Spenryn Dr
Madison, AL 35758 - Phone
- (256) 910-8466
- Organisation at this address
- Applied Behavioral Concepts
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 100
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 106S00000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama