Tara Peterson BCBA

NPI 1174927867 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1174927867
Gender Female
Enumeration Date 10/09/2014
Last Updated 10/09/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
424 PENINSULA AVE
SAN MATEO CA, 94401-1653, US
Phone (650) 286-4396
Fax
Business Location
1511 GOUGH ST
#102
SAN FRANCISCO CA, 94109-5366, US
Phone (310) 351-9326
Fax
Toxanomy
Taxonomy Code 103K00000X
License State California
License Number 1-14-10439
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According to our database, Ms. Tara Peterson BCBA NPI is 1174927867, taxonomy code is 103K00000X and license number is 1-14-10439, license state is located at California. Tara Peterson BCBA physically located at 424 Peninsula Ave, San Mateo CA, 94401-1653. NPI Number Tara Peterson BCBA has the Individual type.

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1174927867 NPI number is provided on an as is basis without warranty of any kind. 1174927867 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Peterson BCBA are for informational purposes only.