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Individual
ISABELLE TERESE PETERSON
Active
Individual
ISABELLE TERESE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED BEHAVIOR
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
06/30/2026
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