Individual
MS. ANGELA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 SKYLINE DR, NORFOLK, NE 68701-2652
(402) 992-9922
Mailing address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(866) 222-1111
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
BACB954151
NE
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
08/09/2023
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