NPI 1982018818 · live from the CMS NPI Registry
Charles William Peterson, MA, BCBA
Behavior Analyst in Katy, TX. National Provider Identifier 1982018818, active.
NPI record
| NPI | 1982018818 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 21929 Highland Knolls Dr, Katy, TX 77450 |
| Practice phone | 832-342-5841 |
| Mailing address | 2804 E 26th St Ste 1, Sioux Falls, SD 57103 |
| Enumerated | June 18, 2014 |
| Last updated | February 28, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.