Individual
BRAD MICHAEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2329 E WT HARRIS BLVD, CHARLOTTE, NC 28213-5186
(704) 529-9090
(704) 529-9009
Mailing address
2329 E WT HARRIS BLVD, CHARLOTTE, NC 28213-5186
(704) 529-9090
(704) 529-9009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3318
NC
106E00000X
Assistant Behavior Analyst
7402000170
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/08/2021
Last updated
09/29/2025
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