Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antoinette Louise Petersen

Individual provider Behavior Technician · NPI 1366305773

Antoinette Louise Petersen is a Behavior Technician in Petaluma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1949 Old Adobe Rd
Petaluma, CA 94954-9534
Phone: (707) 303-5310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence BACB1321488 (CA)

Record details

NPI number1366305773
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 3, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

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