Individual
ANDREA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 10TH AVE S STE 100, WAITE PARK, MN 56387-1968
(320) 200-1342
Mailing address
314 10TH AVE S STE 100, WAITE PARK, MN 56387-1968
(612) 767-7222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0789
MN
Other
Enumeration date
01/09/2023
Last updated
09/04/2025
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