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

Jerrell Pettigrew

Individual provider Behavior Technician · NPI 1386150951

Jerrell Pettigrew is a Behavior Technician in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2017.

Licensed in
SC
In the registry since
2017

Practice location Address checks out

1048 Wildwood Centre Dr
Columbia, SC 29229-8420
Phone: (803) 999-3752
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 17-32371 (SC)

Record details

NPI number1386150951
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 19, 2017
Last updated in NPPESDecember 19, 2017

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