Individual
SIERRA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
22362 E DOMINGO RD, SUITE 106, QUEEN CREEK, AZ 85142
(602) 922-3231
Mailing address
1601 S MOPAC EXPY STE C300, AUSTIN, TX 78746-7077
(512) 920-1030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-50882
IN
103K00000X
Behavior Analyst
Primary
BEH-001504
AZ
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300052026
—
IN
Enumeration date
05/08/2019
Last updated
10/28/2024
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