Individual
LAUREN MARIE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7007 HAWAII KAI DR APT L12, HONOLULU, HI 96825-4128
(573) 760-2488
Mailing address
7007 HAWAII KAI DR APT L12, HONOLULU, HI 96825-4128
(573) 760-2488
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002566
VA
103K00000X
Behavior Analyst
BA-1014
HI
Other
Enumeration date
06/23/2022
Last updated
06/09/2026
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