Individual
PROF. STEPHANIE MARIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
11583 S. 8TH ST., SCHOOLCRAFT, MI 49087
(435) 213-0726
Mailing address
11583 S. 8TH ST., SCHOOLCRAFT, MI 49087
(435) 213-0726
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-01-0656
—
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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