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

Tanner Petersen

Individual provider Behavior Technician · NPI 1235013608

Tanner Petersen is a Behavior Technician in Rohnert Park, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5868 Kristina Pl
Rohnert Park, CA 94928-5066
Phone: (707) 569-4811
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1235013608
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2025
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

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