Katheryn Mary Pettibone, M.A., BCBA
Individual provider Active NPI Behavior Analyst · Greenfield, NH
NPI 1205795341 · NPPES record last updated Jan 15, 2026
Key facts
- NPI
- 1205795341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1 Verney Dr
Greenfield, NH 03047-5000 - Phone
- (603) 547-1809
- NPI assigned
- Jan 15, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1 Verney Dr
Greenfield, NH 03047-5000
Mailing address
1 Verney Dr
Greenfield, NH 03047-5000
Phone (603) 547-1809
Other providers in Greenfield, NH
- Amy Marie Nilges
- Oasis of New Hmapshire
- Shelby Ouellette
- Noelle Paradis
- Thomas Quincy Peters
- Callie Joy Plourde
- Allura Poulin
- Psalm 33, Inc.
- Amy Quinney
- Gwendolyn Rumburg
All providers in Greenfield, NH · Behavior Analyst in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.