Jessica Vashaun Peterson
Assistant Behavior Analyst
4189 White Rd
Snellville
, Georgia 30039-4242
Jessica Vashaun Peterson
Assistant Behavior Analyst
4189 White Rd
Snellville
, Georgia 30039-4242
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About
Features
Specialties
- Assistant Behavior Analyst
Languages spoken
- English
Location
First Address
- Jessica Vashaun Peterson
- 4189 White Rd
- Snellville, GA
- Zip : 30039-4242
- Phone :
Second Address
- Jessica Vashaun Peterson
- 4189 White Rd
- Snellville, GA
- Zip : 30039-4242
- Phone : (470) 485-2220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0167450 | GA |
National Provider Identifier
| NPI | 1023652229 |
|---|---|
| Provider Name | Jessica Vashaun Peterson |
| First Address | Snellville, GA 30039-4242 |
| Second Address | Snellville, GA 30039-4242 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/10/2019 |
| Last Update Date | 30/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.