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

Individual provider Behavior Analyst · NPI 1013648682

Lauren Marie Petersen, BCBA is an Undefined Non-Physician Type (Specify) in Honolulu, Hawaii. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Hawaii and Virginia.

Years since qualifying
6
Licensed in
HI, VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

7007 Hawaii Kai Dr Apt L12
Honolulu, HI 96825-4128
Phone: (573) 760-2488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 0133002566 (VA)
Behavior Analyst Taxonomy 103K00000X · Licence BA-1014 (HI)

Record details

NPI number1013648682
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorYes
NPI enumeratedJune 23, 2022
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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