Katelyn Petersen

Behavior Technician · San Clemente, CA

Individual Active NPI

NPI number 1952992083

Practice location

1319 Calle Avanzado
San Clemente, CA 92673-6351
Phone
(949) 272-6146

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NPI record

NPI
1952992083
Entity type
Individual (Type 1)
Enumeration date
February 1, 2021
Last updated
June 22, 2021
Certified
June 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Other practice locations (1)

  • 1007 Calle Sombra, San Clemente, CA 92673-6244 · (949) 272-6146

About Katelyn Petersen

Katelyn Petersen is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1319 Calle Avanzado, San Clemente, CA 92673-6351. The NPI number 1952992083 was assigned on February 1, 2021 and the record was last updated on June 22, 2021.

Frequently asked questions

What is the NPI number of Katelyn Petersen?

The NPI number is 1952992083.

What is the phone number of Katelyn Petersen?

The phone number listed for the practice location is (949) 272-6146.

Where is Katelyn Petersen located?

1319 Calle Avanzado, San Clemente, CA 92673-6351.

What is the taxonomy code for Katelyn Petersen?

The primary taxonomy code is 106S00000X – Behavior Technician.

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.

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