SearchGeorgia103K00000X

Jesica Peterson, BCBA, LBA

NPI 1841783925 · on the registry since 2018

Practice

Address
3121 N Oak Street Ext
Valdosta, GA 31602
Phone
(800) 832-9419
Clinicians at this address
60

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106S00000X
Licence states on file
UT, NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia