Individual
ALISHA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7220 W JEFFERSON AVE STE 202, LAKEWOOD, CO 80235-2023
(303) 225-7673
Mailing address
10872 NORTHGLENN DR, NORTHGLENN, CO 80233-4058
(720) 937-7895
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27534
CO
106S00000X
Behavior Technician
RBT-16-17413
CO
Other
Enumeration date
12/30/2016
Last updated
07/21/2022
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