JON PETERSON (NPI# 1285112482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285112482 |
| Entity Type | Individual |
| Full Name | JON PETERSON |
| Practice Address |
85 Stoneheights Dr Waterford CT 06385-1975 |
| Practice Telephone | 8609170923 |
| Mailing Telephone | 8609170923 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 577 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952524324 | Jon Douglas Peterson | Psychiatry & Neurology | 1035 San Pablo Ave Ste 5, Albany, CA 94706-2276 | 2007-04-11 |
| 1265593560 | Jon B Peterson | Chiropractor | 2611 Clearwater Rd, Saint Cloud, MN 56301-5953 | 2006-12-12 |
| 1669553723 | Jon T Peterson | Family Medicine | 2960-a Limited Lane Nw, Olympia, WA 98502 | 2006-10-17 |
| 1285726380 | Jon E Peterson | Dentist | 4076 3rd Ave # Su.201, San Diego, CA 92103-2129 | 2006-09-28 |
| 1063645893 | Jon Tor Peterson | Pharmacist | 9983 Wadsworth Pkwy, Westminster, CO 80021-4249 | 2009-08-27 |
| 1407870975 | Jon T Peterson | Emergency Medicine | 2871 Greensboro Rd, Martinsville, VA 24112-8108 | 2006-07-27 |
| 1972549236 | Jon W Peterson | Psychologist | 25401 Cabot Rd, Suite 213, Laguna Hills, CA 92653-5524 | 2006-06-22 |
| 1043250640 | Jon Lee Peterson | Family Medicine | 0310c County Road 14, Del Norte, CO 81132-8719 | 2006-06-08 |
| 1508832676 | Jon Deep Peterson | Podiatrist | 101 Willmar Ave Sw, Willmar, MN 56201 | 2006-02-27 |
| Street Address |
85 STONEHEIGHTS DR |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-1975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033666797 | Bloom Behavior Consulting Services LLC | Behavioral Analyst | 85 Stoneheights Dr, Waterford, CT 06385-1975 | 2016-09-09 |
| 1962964874 | Amy Lynn Anderson | Behavioral Analyst | 85 Stoneheights Dr, Waterford, CT 06385-1975 | 2019-04-01 |
| 1205311347 | Tiarra Shafer Cupp | Behavioral Analyst | 85 Stoneheights Dr, Waterford, CT 06385-1975 | 2018-09-25 |
| 1205374907 | Bloom Behavior and Consulting Services | Community/Behavioral Health | 85 Stoneheights Dr, Waterford, CT 06385-1975 | 2017-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
| 1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
| Find all providers in zip 06385 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588294409 | Caitlin Rose Nedelcu | Behavioral Analyst | 17 Industrial Dr, Waterford, CT 06385-4010 | 2020-01-20 |
| 1720557424 | Soar Autism Center | Behavioral Analyst | 4934 Highland Rd, Waterford, MI 48328-1142 | 2018-11-26 |
| 1639600943 | Jocelyn Mazyck Brown | Behavioral Analyst | 17 Industrial Drive, Waterford, CT 06385-4010 | 2017-03-27 |
| 1033666797 | Bloom Behavior Consulting Services LLC | Behavioral Analyst | 85 Stoneheights Dr, Waterford, CT 06385-1975 | 2016-09-09 |
| 1336694272 | Daphne Jones | Behavioral Analyst | 186 Oshawa Cir, Waterford, MI 48328-3240 | 2016-08-21 |
| 1538540604 | Ryan Detloff | Behavioral Analyst | 7182 Black Oak Ct Apt 105, Waterford, MI 48327-4519 | 2015-06-15 |
| 1689071847 | Tammi Mccoy | Behavioral Analyst | 5961 Northridge Cir, Waterford, MI 48327-1872 | 2014-12-03 |
| 1154732782 | Anne Krawczyk | Behavioral Analyst | 106 S Hospital Rd, Waterford, MI 48327-3816 | 2014-05-16 |
| 1639474166 | Megan O'bern | Behavioral Analyst | 186 Butlertown Rd, Waterford, CT 06385-4025 | 2011-01-13 |
| 1013534320 | Brittany Nicole Pearson | Behavioral Analyst | 17 Industrial Dr, Waterford, CT 06385-4010 | 2020-07-02 |
| Find all providers in WATERFORD | ||||
Please comment or provide details below to improve the information on JON PETERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.