Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kerry Peterson, MA, CCC/SLP, BCBA

Individual provider Behavior Analyst · NPI 1720371933

Kerry Peterson, MA, CCC/SLP, BCBA is a Behavior Analyst in West Bloomfield, Michigan. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

6625 Daly Rd
West Bloomfield, MI 48322-3410
Phone: (248) 737-3430
Fax: (248) 737-3433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1720371933
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC/SLP , BCBA
Sole proprietorNo
NPI enumeratedMay 20, 2011
Last updated in NPPESSeptember 22, 2016

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