Individual
BRIANNA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACB 1-24-75392
Contact information
Practice address
854 TECHNOLOGY WAY STE E, LIBERTYVILLE, IL 60048-5350
(847) 816-7200
Mailing address
1808 HARRISON AVE, MUNDELEIN, IL 60060-1062
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75392
IL
106S00000X
Behavior Technician
18-48032
IL
Other
Enumeration date
05/08/2018
Last updated
12/10/2025
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