Individual
GRACE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1480 COUNTY ROAD XX, ROTHSCHILD, WI 54474-9003
(920) 857-9041
Mailing address
225210 MAPLEWOOD DR, WESTON, WI 54476-7517
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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