MR. CHARLES WILLIAM PETERSON IV (NPI# 1982018818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982018818 |
| Entity Type | Individual |
| Full Name | MR. CHARLES WILLIAM PETERSON IV |
| Credential | MA, BCBA |
| Practice Address |
21929 Highland Knolls Dr Katy TX 77450-5873 |
| Mailing Address |
2804 E 26th St Ste 1 Sioux Falls SD 57103-4019 |
| Practice Telephone | 8323425841 |
| Practice Fax Number | 6052713956 |
| Mailing Telephone | 6052712690 |
| Mailing Fax Number | 6052713956 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2020-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609026897 | Charles Marquis Peterson | Internal Medicine | 12910 Dalyn Dr, Potomac, MD 20854-1176 | 2008-09-24 |
| 1134243355 | Charles Mark Peterson | Registered Nurse | 830 14th Ave, Seattle, WA 98122-4508 | 2007-03-16 |
| 1902973415 | Charles Walter Peterson | Optometrist | 904 Elliott Ave N, Wenatchee, WA 98801-1666 | 2006-11-29 |
| 1558472613 | Charles Edwin Peterson | Internal Medicine | 904 Meadow Lane, Schenectady, NY 12309 | 2006-08-31 |
| 1700845526 | Charles A Peterson | Orthopaedic Surgery | 8438 N Mercer Way, Mercer Island, WA 98040-3134 | 2006-03-21 |
| 1952302143 | Charles Smith Peterson | Family Medicine | 3130 E Baseline Rd, Suite 101, Mesa, AZ 85204-7290 | 2005-08-10 |
| 1871036798 | Charles Capdeville Peterson | Family Medicine | 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 | 2016-11-25 |
| 1154798502 | Charles Peterson | Counselor | 185 Silas Deane Hwy, Wethersfield, CT 06109 | 2015-09-01 |
| 1295026821 | Charles John Peterson | Student in an Organized Health Care Education/Training Program | 308 Harvard St Se, Minneapolis, MN 55455-0343 | 2011-05-01 |
| 1437234499 | Charles John Peterson | Emergency Medicine | 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | 2006-10-26 |
| Street Address |
21929 HIGHLAND KNOLLS DR |
| City | KATY |
| State | TX |
| Zip Code | 77450-5873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346422730 | Manish Dhutia | Dentist | 21929 Highland Knolls Dr, Katy, TX 77450-5873 | 2007-11-28 |
| 1700347093 | Jackeline Faccini | Behavioral Analyst | 21929 Highland Knolls Dr, Katy, TX 77450-5873 | 2019-03-28 |
| 1528579307 | Danielle E Sutton | Behavioral Analyst | 21929 Highland Knolls Dr, Katy, TX 77450-5873 | 2017-10-19 |
| 1063807402 | Kelly B. Munsell | Behavioral Analyst | 21929 Highland Knolls Dr, Katy, TX 77450-5873 | 2015-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
| 1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
| 1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| Find all providers in zip 77450 | ||||
| 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 |
|---|---|---|---|---|
| 1609474337 | Samantha Katchy | Behavioral Analyst | 20751 Holly Rain Dr, Katy, TX 77449-1667 | 2020-10-14 |
| 1265045108 | Greyson Griffiths | Behavioral Analyst | 21630 Merchants Way Ste B, Katy, TX 77449-2514 | 2020-08-29 |
| 1013531573 | Mashal Hussain | Behavioral Analyst | 3300 Falcon Landing Blvd, Katy, TX 77494-7748 | 2020-06-01 |
| 1598388597 | Xin Dong | Behavioral Analyst | 633 E Fernhurst Dr Ste 801, Katy, TX 77450-1587 | 2020-05-26 |
| 1467091991 | Pieza Perfect Inc. | Behavioral Analyst | 1660 Katy Gap Rd Apt 32105, Katy, TX 77494-7731 | 2020-01-01 |
| 1679134043 | Kidd's Kids Aba Therapy | Behavioral Analyst | 20502 Providence Point Dr, Katy, TX 77449-2054 | 2019-06-26 |
| 1295396885 | Evelyn Valenzuela | Behavioral Analyst | 460 Park Grove Dr, Katy, TX 77450-1571 | 2019-06-24 |
| 1528523339 | Sanjukta Banerjee Mukherji | Behavioral Analyst | 4107 Retreat Creek Ln, Katy, TX 77494-2704 | 2019-02-06 |
| 1316410590 | Olutobi Idowu | Behavioral Analyst | 4011 Yale Square Ct, Katy, TX 77449-2097 | 2019-01-09 |
| 1700385127 | Sewra Cuddus | Behavioral Analyst | 20100 Park Row Dr Apt 1002, Katy, TX 77449-4983 | 2018-02-12 |
| Find all providers in KATY | ||||
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| 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.