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

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1194042515

Damon Peterson, MED, PBSF is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Petersburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2010
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

24812 Brickwood Meadow Ln
Petersburg, VA 23803-8869
Phone: (804) 861-5201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence 148 (VA)

Record details

NPI number1194042515
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , PBSF
Sole proprietorYes
NPI enumeratedApril 24, 2010
Last updated in NPPESApril 24, 2010

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