NPI 1174867022

Kasey Graham Petersen, BCABA

Practitioner Behavior Analyst Summerville, SC

Practice location

Address: 89 Old Trolley Rd # B 202, Summerville, SC 29485-4951
Phone: (843) 875-0017
Fax: (843) 486-8394
Mailing address: 401 Mather Green Ave APT C, Charlotte, NC 28203-5676

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in South Carolina →

Registry record

NPI: 1174867022
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.