Individual
KARLIE M PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9012 Q ST, OMAHA, NE 68127-3549
(402) 552-9556
(402) 559-5737
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60706
NE
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/16/2019
Last updated
07/29/2022
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