Stacy Peterson

NPI #1730627571 in Clermont, Florida

Provider Information

NPI Number: 1730627571
Entity Type: Individual
Name: Stacy Peterson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 1, 2017
Last Updated: Feb 1, 2017

Practice Location

Address: 355 CITRUS TOWER BLVD
Address 2: SUITE 116
City: Clermont
State: Florida
ZIP Code: 34711-6501
Phone: (352) 223-1999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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