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

Katherine Petrusa

Individual provider Behavior Technician · NPI 1750855839

Katherine Petrusa is a Behavior Technician in Leesburg, Florida. Practices as a sole proprietor and works from 3 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1650 W Main St
Leesburg, FL 34748-2841
Phone: (352) 314-3760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6315 Bay Club Dr Apt 3, Fort Lauderdale, FL 33308-1626 — (815) 262-8466
  • 738 Old Hunter Run, Byron, IL 61010-1430 — (815) 262-8466

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 11934528
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1750855839
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 11, 2019
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023
Mailing address1650 W Main St, Leesburg, FL 34748-2841

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