John Russell Peterson

NPI #1528657152 in Kenai, Alaska

Provider Information

NPI Number: 1528657152
Entity Type: Individual
Name: John Russell Peterson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 18, 2021
Last Updated: Jan 18, 2021

Practice Location

Address: 508 UPLAND ST
City: Kenai
State: Alaska
ZIP Code: 99611-8026
Phone: (907) 335-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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