Lisa M Pettis
NPI #1972484137 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1972484137
- Entity Type
- Individual
- Name
- Lisa M Pettis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 11, 2025
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 2965 FORT CAMPBELL BLVD
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37042-7798
- Phone
- (931) 271-4850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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