Individual provider · Type 1 NPI

Mariah Anne Petersen, BCBA

Behavior Analyst · Conway, AR

NPI number 1043976483 Active

Practice location

815 S Donaghey Ave
Conway, AR 72034-6880

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Other practice locations

  • 4610 W Commercial Dr, North Little Rock, AR 72116-7057 · (501) 287-5229

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XRBT-21-179641 (AR)
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1043976483

Mariah Anne Petersen, BCBA's National Provider Identifier is 1043976483, issued on Nov 10, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Conway, AR. The record was last updated on Dec 7, 2023.