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

Jala Pettaway

Individual provider Behavior Technician · NPI 1174118921

Jala Pettaway is a Behavior Technician in Perrysburg, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

900 W South Boundary St
Perrysburg, OH 43551-5230
Phone: (419) 419-6211
Fax: (419) 419-6231
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1174118921
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 3, 2021
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022
Mailing address900 W South Boundary St Bldg 6, Perrysburg, OH 43551-5235

Other providers in Perrysburg