Khalisha M Peterson
Khalisha M Peterson is a Behavior Technician in St Charles, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
309 Walnut StSt Charles, IL 60174-2767
Phone: (703) 564-1634
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1427711779 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 14, 2021 |
| Last updated in NPPES | October 14, 2021 |
| Certification date | October 14, 2021 |
| Mailing address | 166 Kaydon Dr, Decatur, IL 62521-5336 |
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