Aubrey Pettyplace, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401001362 Issued in MI

Practice address

1402 S Saginaw St
Flint, MI 48503-3705

Phone

(810) 257-3705

NPI assigned

Jun 14, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sonder Center for Neurodevelopment LLC

  • Behavior Analyst
  • Allendale, MI
  • NPI 1417786831
  NPD Authorized official
• Alliance Behavior Consulting LLC

  • Behavior Analyst
  • Frankenmuth, MI
  • NPI 1659001139
  NPD (past) Authorized official
• Spectrum Autism Center

  • Behavior Technician
  • Freeland, MI
  • NPI 1457898124
  NPD (past)
• Spectrum Autism Center LLC

  • Behavior Analyst
  • Freeland, MI
  • NPI 1275916363
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1427618263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 ROLLING GREEN PL",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033705",
            "telephone_number": "810-257-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2318 Rolling Green Pl",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486033740",
            "country_code": "US",
            "telephone_number": "989-770-0753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTYPLACE",
        "first_name": "AUBREY",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001362",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesca M Petrilli, DNP, ARNP-BC
• Mary Patricia Petrillo, PHARM.D.
• Diana Simone Petrouleas
• Carlos Petrozzi, MD
• Krystal Pettengill
• Krystallynn Marie Petway
• Kristen Pfaff
• Teresa Lynn Pfenninger, LLPC
• Amber Jo Pfromm, PTA
• Pharmacare Drugs 2 Inc

• Behavior Analyst in Flint, MI
• Providers in Flint, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.