Michael Petersen I

NPI #1578255006 in Saint Albans, Vermont

Provider Information

NPI Number: 1578255006
Entity Type: Individual
Name: Michael Petersen I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: May 23, 2023
Last Updated: May 23, 2023

Practice Location

Address: 5 LEMNAH DR
City: Saint Albans
State: Vermont
ZIP Code: 05478-2382
Phone: (800) 679-3609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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