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

Individual provider Behavior Technician · NPI 1043976483

Mariah Anne Petersen, BCBA is a Behavior Technician in Conway, Arkansas. Works from 2 locations. Licensed in Arkansas.

Licensed in
AR
In the registry since
2021
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

815 S Donaghey Ave
Conway, AR 72034-6880
Phone: (501) 400-0924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4610 W Commercial Dr, North Little Rock, AR 72116-7057 — (501) 287-5229

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (AR)
Behavior Technician Taxonomy 106S00000X · Licence RBT-21-179641 (AR)

Record details

NPI number1043976483
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedNovember 10, 2021
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

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