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

Edriel Peterson

Individual provider Behavior Technician · NPI 1417880436

Edriel Peterson is a Behavior Technician in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

1567 Kingsley Ave
Orange Park, FL 32073-4510
Phone: (904) 602-9742
Fax: (904) 637-4724
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 106S00000X (FL)

Record details

NPI number1417880436
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address300 International Pkwy Ste 200, Lake Mary, FL 32746-5028

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