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

Jalen D Pettiford

Individual provider Behavior Technician · NPI 1154161461

Jalen D Pettiford is a Behavior Technician in Raleigh, North Carolina. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5121 Kingdom Way Ste 100
Raleigh, NC 27607-6063
Phone: (800) 442-2762
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 number1154161461
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 27, 2024
Last updated in NPPESMay 27, 2024
Certification dateMay 26, 2024

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