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

Jacqueline Rae Pettit

Individual provider Behavior Technician · NPI 1629935564

Jacqueline Rae Pettit is a Behavior Technician in Piedmont, Missouri. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

5 Sugar Creek Rd
Piedmont, MO 63957-9612
Phone: (573) 223-7649
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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 number1629935564
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 5, 2026
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address5 Sugar Creek Rd, Piedmont, MO 63957-9612

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