JESSICA N PETERSEN
NPI 1073380580
Behavior Technician in Pooler, GA

Active since December 05, 2023
100 COMMERCE CT, POOLER, GA 31322(615) 560-6622 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica N Petersen NPPES

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

JESSICA N PETERSEN (NPI 1073380580) is an individual behavior technician in Pooler, Georgia and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1073380580
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameJESSICA N PETERSEN
Location Address100 COMMERCE CTPooler, GA 31322-9445
Mailing Address2775 Smiths XingRidgeland, SC 29936-8325 · (940) 445-9073
Sole ProprietorNo
Enumeration DateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
NPI 1073380580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
100 COMMERCE CT, Pooler, GA 31322

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.

Behavior Technician
100 COMMERCE CT
POOLER, GA 31322
Behavior Technician
100 COMMERCE CT
POOLER, GA 31322
Behavior Technician
100 COMMERCE CT
POOLER, GA 31322
Behavior Technician
100 COMMERCE CT
POOLER, GA 31322
Behavior Technician
100 COMMERCE CT
POOLER, GA 31322
Behavior Technician
100 COMMERCE CT
POOLER, GA 31322
Behavior Technician
100 COMMERCE CT
POOLER, GA 31322
Behavior Technician
100 COMMERCE CT
POOLER, GA 31322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Petersen's NPI number?

The NPI number for Jessica Petersen is 1073380580. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Where is Jessica Petersen located?

Jessica Petersen practices at 100 Commerce Ct, Pooler, GA 31322. The listed phone number is (615) 560-6622.

What is Jessica Petersen's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jessica Petersen was last updated on December 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.