Individual
COURTNEY M PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11446 VALLEY RIDGE DR, PAPILLION, NE 68046-6271
(402) 916-4539
Mailing address
11446 VALLEY RIDGE DR, PAPILLION, NE 68046-6271
(402) 916-4539
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0016
NE
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
04/15/2026
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