Tanner Petersen

NPI #1235013608 in Rohnert Park, California

Provider Information

NPI Number: 1235013608
Entity Type: Individual
Name: Tanner Petersen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 31, 2025
Last Updated: Jul 31, 2025

Practice Location

Address: 5868 KRISTINA PL
City: Rohnert Park
State: California
ZIP Code: 94928-5066
Phone: (707) 569-4811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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