Individual
MRS. HEATHER JOLEEN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MED., BCBA
Contact information
Practice address
10 CHEROKEE TRL, YORK HAVEN, PA 17370-8905
(717) 676-1950
Mailing address
PO BOX 9, ETTERS, PA 17319-0009
(717) 676-1950
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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