Petersen, Kasey Graham

Petersen, Kasey Graham is an individual health care provider with primary practice located at 89 Old Trolley Rd # B 202, Summerville SC 29485-4951. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Petersen, Kasey Graham can be contacted via phone (843) 875-0017.

Contact Information

Primary practice address
89 Old Trolley Rd # B 202 Summerville SC 29485-4951
Phone: (843) 875-0017
Fax: (843) 486-8394
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1174867022
LBN Legal business name Petersen, Kasey Graham
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 14 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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