Individual
MASYN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
83690 RIDGE RD, STANTON, NE 68779-2164
(402) 640-3601
Mailing address
83690 RIDGE RD, STANTON, NE 68779-2164
(402) 640-3601
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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