MARIAH ANNE PETERSEN BCBA
NPI 1043976483
Behavior Analyst in Conway, AR

Q: What is Mariah Petersen's NPI number?

The NPI number for Mariah Petersen is 1043976483. It was assigned to this individual provider in the NPPES registry on November 10, 2021. The provider is also known as Mariah Anne Eubank.

Q: What is Mariah Petersen's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Mariah Petersen was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 10, 2021

815 S DONAGHEY AVE, CONWAY, AR 72034(501) 400-0924 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2023, Nov 10, 2021 (2 updates tracked since 2021).

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About Mariah Anne Petersen Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAH ANNE PETERSEN BCBA (NPI 1043976483) is an individual behavior analyst provider in Conway, Arkansas and active in the NPI registry since November 2021. She maintains a secondary practice location in North Little Rock.

NPPES Registry Identity

NPI1043976483

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMARIAH ANNE PETERSENCredential: BCBA

Location Address815 S DONAGHEY AVEConway, AR 72034-6880

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885

Phone(501) 400-0924

Sole ProprietorNo

Enumeration DateNovember 10, 2021

Last NPPES UpdateDecember 7, 20232 updates tracked since enumeration

NPPES CertifiedDecember 7, 2023

✔ NPI 1043976483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-21-179641 (AR)

815 S DONAGHEY AVE, Conway, AR 72034

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Other Names 1

Former Name (1)Mariah Anne Eubank

Secondary Practice Location 1

Location 14610 W Commercial DrNorth Little Rock, AR 72116-7057 · Phone (501) 287-5229 · Fax (317) 520-8200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Health Advantage and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA COCKRUM

Behavior Technician