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

Julie Pettibone

Individual provider Behavior Analyst · NPI 1790339737

Julie Pettibone is a Behavior Analyst in Fort Wayne, Indiana. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

4719 S Calhoun St
Fort Wayne, IN 46807-2811
Phone: (260) 579-6248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1790339737
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 29, 2019
Last updated in NPPESJuly 29, 2019
Mailing address4719 S Calhoun St, Fort Wayne, IN 46807-2811

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