Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deidra Renne Pettis

Individual provider Behavior Technician · NPI 1861904773

Deidra Renne Pettis is a Behavior Technician in Novi, Michigan. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone: (248) 299-0030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1861904773
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 1, 2017
Last updated in NPPESNovember 1, 2017

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