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

Tayler N Peterson

Individual provider Behavior Technician · NPI 1003637778

Tayler N Peterson is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3809 Lake Eastbrook Blvd SE
Grand Rapids, MI 49546-5931
Phone: (616) 604-8492
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 number1003637778
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 24, 2024
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

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