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

Tyleasha S Pettway

Individual provider Behavior Technician · NPI 1376212175

Tyleasha S Pettway is a Behavior Technician in Columbus, Georgia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1110 13th St Ste D
Columbus, GA 31901-2246
Phone: (706) 780-1704
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1376212175
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2021
Last updated in NPPESSeptember 7, 2021
Certification dateSeptember 7, 2021

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