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

Individual provider Behavior Technician · NPI 1053120980

Jacqueline Petris, RBT is a Behavior Technician in Ventura, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

2421 Portola Rd
Ventura, CA 93003-8046
Phone: (858) 264-5858
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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 RBT-24-402807

Record details

NPI number1053120980
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorNo
NPI enumeratedJanuary 6, 2025
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address16255 Ventura Blvd Ste 900, Encino, CA 91436-2317

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