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Individual

CHRISTIE PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., LBA

Contact information

Practice address
11623 ANGUS RD STE 20, AUSTIN, TX 78759
(512) 827-7011
(512) 382-1190
Mailing address
11623 ANGUS RD STE 20, AUSTIN, TX 78759-4041
(512) 827-7011
(512) 382-1190

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1378
TX

Other

Enumeration date
06/09/2010
Last updated
05/15/2023
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