Individual
DANIELLE JO PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7755 OFFICE PLAZA DR N, SUITE #105, WEST DES MOINES, IA 50266-2339
(515) 505-7283
Mailing address
7755 OFFICE PLAZA DR N STE 105, WEST DES MOINES, IA 50266-2339
(515) 505-7283
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822272447
PRIVATE INSURANCE
—
Enumeration date
03/11/2021
Last updated
03/11/2021
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