Individual
CAROLINE ELIABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 ARUBA AVE, STATESBORO, GA 30458-6107
(912) 658-5350
Mailing address
132 ARUBA AVE, STATESBORO, GA 30458-6107
(912) 658-5350
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
GA
106S00000X
Behavior Technician
Primary
RBT-25-461129
GA
Other
Enumeration date
07/28/2025
Last updated
01/16/2026
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