Individual
ALICIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2439 106TH ST, URBANDALE, IA 50322-3706
(515) 325-4097
Mailing address
2933 SW SUNNYBROOKE DR, ANKENY, IA 50023-9465
(712) 229-3250
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
123048
IA
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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