Individual
MICHAEL PETERSEN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
59 INTERSTATE DR STE 3, WEST SPRINGFIELD, MA 01089-5100
(774) 206-1125
Mailing address
808 RYAN RD, FLORENCE, MA 01062-3438
(570) 687-3550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
07/31/2026
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