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Individual

HEATHER PETERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUTISM SPECIALIST

Contact information

Practice address
1133 COLLEGE AVE STE E230, MANHATTAN, KS 66502-2818
(785) 587-1825
(785) 587-1828
Mailing address
1133 COLLEGE AVE STE E230, MANHATTAN, KS 66502-2818
(785) 587-1825
(785) 587-1828

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00000
KS
103K00000X
Behavior Analyst
KS
106S00000X
Behavior Technician
00000
KS

Other

Enumeration date
05/09/2023
Last updated
05/10/2023
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