Kellie Allison Peterson, BCBA

Behavior Analyst · Clinton, MA

Individual Active NPI

NPI number 1821474461

Practice location

112 East St Apt 8
Clinton, MA 01510-1737
Phone
(508) 320-0582

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NPI record

NPI
1821474461
Entity type
Individual (Type 1)
Enumeration date
August 5, 2015
Last updated
August 5, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 103 MA

About Kellie Peterson

Kellie Allison Peterson, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 112 East St Apt 8, Clinton, MA 01510-1737. The NPI number 1821474461 was assigned on August 5, 2015 and the record was last updated on August 5, 2015.

Kellie Peterson lists a license in the registry: #103 (MA) 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 Kellie Allison Peterson, BCBA?

The NPI number is 1821474461.

What is the phone number of Kellie Peterson?

The phone number listed for the practice location is (508) 320-0582.

Where is Kellie Peterson located?

112 East St Apt 8, Clinton, MA 01510-1737.

What is the taxonomy code for Kellie Peterson?

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.