EDRIEL PETERSON
NPI 1417880436
Behavior Technician in Orange Park, FL

Active since June 08, 2026
1567 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 602-9742(904) 637-4724 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edriel Peterson NPPES

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

EDRIEL PETERSON (NPI 1417880436) is an individual behavior technician in Orange Park, Florida, licensed in Florida (106S00000X) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1417880436
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameEDRIEL PETERSON
Location Address1567 KINGSLEY AVEOrange Park, FL 32073-4510
Mailing Address300 International Pkwy Ste 200Lake Mary, FL 32746-5028 · (866) 610-0580 · Fax (866) 611-1558
Fax(904) 637-4724
Sole ProprietorNo
Enumeration DateJune 8, 2026
NPPES CertifiedJune 8, 2026
NPI 1417880436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in FL · 106S00000X
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.

1567 KINGSLEY AVE, Orange Park, FL 32073

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
1567 KINGSLEY AVE
ORANGE PARK, FL 32073
Behavior Technician
1567 KINGSLEY AVE
ORANGE PARK, FL 32073
Behavior Technician
1567 KINGSLEY AVE
ORANGE PARK, FL 32073
Behavior Technician
1567 KINGSLEY AVE
ORANGE PARK, FL 32073
Behavior Technician
1567 KINGSLEY AVE
ORANGE PARK, FL 32073
Behavior Technician
1567 KINGSLEY AVE
ORANGE PARK, FL 32073
Behavior Technician
1567 KINGSLEY AVE
ORANGE PARK, FL 32073
Behavior Technician
1567 KINGSLEY AVE
ORANGE PARK, FL 32073

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 Edriel Peterson's NPI number?

The NPI number for Edriel Peterson is 1417880436. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Where is Edriel Peterson located?

Edriel Peterson practices at 1567 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 602-9742.

What is Edriel Peterson'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 Edriel Peterson was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.