Ashley Petersen

Behavior Analyst · Suffield, CT

Individual Active NPI

NPI number 1164016721

Practice location

576b Boston Neck Rd
Suffield, CT 06078-2310
Phone
(860) 324-3004

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NPI record

NPI
1164016721
Entity type
Individual (Type 1)
Enumeration date
February 24, 2021
Last updated
February 24, 2021
Certified
February 24, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1055 CT

About Ashley Petersen

Ashley Petersen is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 576b Boston Neck Rd, Suffield, CT 06078-2310. The NPI number 1164016721 was assigned on February 24, 2021 and the record was last updated on February 24, 2021.

Ashley Petersen lists a license in the registry: #1055 (CT) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ashley Petersen?

The NPI number is 1164016721.

What is the phone number of Ashley Petersen?

The phone number listed for the practice location is (860) 324-3004.

Where is Ashley Petersen located?

576b Boston Neck Rd, Suffield, CT 06078-2310.

What is the taxonomy code for Ashley Petersen?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.