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Individual

LAUREN MARIE PETERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
13836 TARLETON CT, GAINESVILLE, VA 20155-5902
(573) 760-2488
Mailing address
13836 TARLETON CT, GAINESVILLE, VA 20155-5902
(573) 760-2488

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002566
VA

Other

Enumeration date
06/23/2022
Last updated
06/23/2022
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