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

Ellen Petulla

Individual provider Behavior Technician · NPI 1205564457

Ellen Petulla is a Behavior Technician in Mansfield, Ohio. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

1033 Larchwood Rd
Mansfield, OH 44907-2424
Phone: (419) 747-4122
Fax: (419) 747-4126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1205564457
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2022
Last updated in NPPESAugust 14, 2022
Certification dateAugust 14, 2022
Mailing address9150 Ross Rd, Mansfield, OH 44903-8553

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