CHRISTIE PETERSEN


Address: 11623 Angus Rd Ste 20, Austin, TX 78759
Phone: 5128277011

CHRISTIE PETERSEN (NPI# 1598085813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598085813
Entity Type Individual
Full Name CHRISTIE PETERSEN
Credential M.ED., BCBA
Practice Address 11623 Angus Rd Ste 20
Austin
TX 78759
Mailing Address 11623 Angus Rd Ste 20
Austin
TX 78759-4041
Practice Telephone 5128277011
Practice Fax Number 5123821190
Mailing Telephone 5128277011
Mailing Fax Number 5123821190
Enumeration Date 2010-06-09
Last Update Date 2018-07-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1378 TX Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
9707 Anderson Mill Rd, Suite 220, Austin, TX 787502298 5128277011

Other Providers CHRISTIE PETERSEN

NPI Name Taxonomy Address Enumeration
1841850005 Christie Lynn Petersen Hearing Instrument Specialist 2325 Summit Park Dr Ste B, Petoskey, MI 49770-8774 2019-06-19

Office Location

Street Address 11623 ANGUS RD STE 20
City AUSTIN
State TX
Zip Code 78759

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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

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NPI Name Taxonomy Address Enumeration
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1942817200 Songbird Health Tx LLC Behavioral Analyst 1401 Lavaca St, Austin, TX 78701-1634 2020-09-29
1962020099 Mayra Cristina Barreda Behavioral Analyst 2000 Cedar Bend Dr Apt 1134, Austin, TX 78758-5351 2020-07-06
1740802206 Roots, Aba Therapy and Consulting Services LLC Behavioral Analyst 3715 S. 1st St, #464, Austin, TX 78704 2020-05-07
1326677212 Tx Mc Sprout 1 LLC Behavioral Analyst 5323 Levander Loop, Austin, TX 78702-5146 2020-04-03
1922632405 Little Light Aba, LLC Behavioral Analyst 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 2020-02-24
1417580648 Ashley K Bloodworth Behavioral Analyst 2100 Kramer Ln Ste 300, Austin, TX 78758-4094 2020-02-17
1376173013 Haley Erin Van Klompenburg Behavioral Analyst 5700 S Mo Pac Expy Ste 310, Austin, TX 78749-1457 2020-01-22
1386282630 Kourtney Souza Behavioral Analyst 1500 S Lamar Blvd Apt 2015, Austin, TX 78704-2944 2019-12-18
1447891098 Vision Aba Behavioral Analyst 6205 Adel Cv, Austin, TX 78749-1656 2019-10-04
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Competitor

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City AUSTIN
Zip Code 78759

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Dataset Information

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.

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