Petersen, Erik J

Petersen, Erik J is an individual health care provider with primary practice located at 321 Fortune Blvd , Milford MA 01757-1750. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Petersen, Erik J can be contacted via phone (508) 478-0207.

Contact Information

Primary practice address
321 Fortune Blvd Milford MA 01757-1750
Phone: (508) 478-0207
Fax: (508) 634-6984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1538480389
LBN Legal business name Petersen, Erik J
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2010
Last updated Aug 10th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538480389 NPPES
Massachusetts Other 042197449 TRICARE

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