Individual
SUMMER L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
(706) 780-1704
Mailing address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
(423) 241-7251
(423) 320-3913
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1394
TN
Other
Enumeration date
03/24/2021
Last updated
10/12/2025
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