Individual provider · Type 1 NPI

Tanner Petersen

Behavior Technician · Rohnert Park, CA

NPI number 1235013608 Active

Practice location

5868 Kristina Pl
Rohnert Park, CA 94928-5066

Call (707) 569-4811 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1235013608

Tanner Petersen's National Provider Identifier is 1235013608, issued on Jul 31, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Rohnert Park, CA. The record was last updated on Jul 31, 2025.