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

Brenna Noelani Petersen

Individual provider Behavior Technician · NPI 1780510115

Brenna Noelani Petersen is a Behavior Technician in Fairborn, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

1750 Commerce Center Blvd
Fairborn, OH 45324-6333
Phone: (937) 893-1138
Fax: (937) 343-6657
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (OH)

Record details

NPI number1780510115
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2026
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

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