Individual provider · Type 1 NPI

Edriel Peterson

Behavior Technician · Orange Park, FL

NPI number 1417880436 Active

Practice location

1567 Kingsley Ave
Orange Park, FL 32073-4510

Call (904) 602-9742 Map

Fax (904) 637-4724

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000X106S00000X (FL)

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 1417880436

Edriel Peterson's National Provider Identifier is 1417880436, issued on Jun 8, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Orange Park, FL. The record was last updated on Jun 8, 2026.