Anthony Dwain Pettus Jr.
Anthony Dwain Pettus Jr. is a Case Manager/Care Coordinator in Madison, Alabama. Licensed in Alabama and Tennessee. Registered with an NPI since 2018.
- Licensed in
- AL, TN
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
100 Spenryn DrMadison, AL 35758-1890
Phone: (256) 772-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 19-88268 (AL) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X (TN) |
Record details
| NPI number | 1023518214 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 14, 2018 |
| Last updated in NPPES | June 12, 2019 |
Other providers in Madison
-
MS. Barbara Louise Azzam, MED, LPC, CVE, CRC
175 Chestnut Dr Ste A, Madison, AL 35758-9527 · (256) 895-0008
-
Megan C Larrabee, LICSW
600 Sun Temple Dr, Madison, AL 35758-8643 · (256) 288-3333