Individual
DANIELLE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
312 MARSHALL AVE STE 102, LAUREL, MD 20707-4840
(240) 297-3550
Mailing address
312 MARSHALL AVE STE 102, LAUREL, MD 20707-4840
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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