Individual
RACHELL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
891 BELSLY BLVD, MOORHEAD, MN 56560-5055
(218) 287-4338
Mailing address
891 BELSLY BLVD, MOORHEAD, MN 56560-5055
(218) 287-4338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L69
ND
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BACB444180
—
MN
Enumeration date
05/31/2013
Last updated
04/13/2021
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