Individual
VIVIAN PEAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
806 W BEACON RD, LAKELAND, FL 33803-2847
(863) 220-1205
Mailing address
806 W BEACON RD, LAKELAND, FL 33803-2847
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15669
FL
106S00000X
Behavior Technician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106855700
—
FL
Enumeration date
02/17/2020
Last updated
08/20/2025
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