Stacy Petersen

NPI #1518753672 in Austin, Minnesota

Provider Information

NPI Number
1518753672
Entity Type
Individual
Name
Stacy Petersen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Apr 16, 2025
Last Updated
Apr 16, 2025

Practice Location

Address
102 1ST AVE NE
City
Austin
ZIP Code
55912-3401
Phone
(507) 292-1006

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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