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

Individual provider Behavior Analyst · NPI 1154917052

Robert Pettibone, BCBA is a Behavior Analyst in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2020
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

4719 S Calhoun St
Fort Wayne, IN 46807-2811
Phone: (260) 705-0522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-19-40238 (IN)

Record details

NPI number1154917052
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorYes
NPI enumeratedDecember 15, 2020
Last updated in NPPESAugust 13, 2021
Certification dateAugust 13, 2021
Mailing address4719 S Calhoun St, Fort Wayne, IN 46807-2811

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