Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLIE ALLISON PETERSON, BCBA
Active Sole ProprietorMRS. KELLIE ALLISON PETERSON, BCBA is a Behavior Analyst healthcare provider located in CLINTON, Massachusetts. NPI 1821474461 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · CLINTON, MA
Registration Details
- NPI Number
- 1821474461
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2015 (10.99950985212 yrs)
- Last Updated
- Aug 5, 2015
- License
-
103 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 EAST ST APT 8CLINTON, MA, 015101737Browse MA providers · Browse ZIP 01510
- Phone
- 5083200582
- Primary Specialty
-
Behavior Analyst
103K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.