Individual provider · Type 1 NPI

Kathryn Petersen, MA

Behavior Analyst · San Diego, CA

NPI number 1487084091 Active

Practice location

6540 Lusk Blvd Ste C256
San Diego, CA 92121-5795

Mailing address

13325 Calle Del Campo Unit 2
San Diego, CA 92129-4687

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-13-14878 (CA)

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 1487084091

Kathryn Petersen, MA's National Provider Identifier is 1487084091, issued on Nov 18, 2013. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in San Diego, CA. The record was last updated on Nov 18, 2013.