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

Individual provider Behavior Analyst · NPI 1790176592

MS. Crystal Shannon Pettit, MAED is a Behavior Analyst in Charlotte, North Carolina. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
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Practice location Address checks out

10926 S Tryon St Ste E
Charlotte, NC 28273-4154
Phone: (855) 201-5498
Fax: (888) 849-4249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3211 Grant Line Rd, New Albany, IN 47150-2175 — (502) 417-9830

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1790176592
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAED
Sole proprietorYes
NPI enumeratedFebruary 15, 2015
Last updated in NPPESJuly 14, 2019

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