KATHRYN PETERSEN MA
NPI 1487084091
Behavior Analyst in San Diego, CA

Q: What is Kathryn Petersen's NPI number?

The NPI number for Kathryn Petersen is 1487084091. It was assigned to this individual provider in the NPPES registry on November 18, 2013.

Q: What is Kathryn 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 Kathryn Petersen was last updated on November 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 18, 2013

6540 LUSK BLVD STE C256, SAN DIEGO, CA 92121(858) 657-9117 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kathryn Petersen Ma NPPES

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

KATHRYN PETERSEN MA (NPI 1487084091) is an individual behavior analyst provider in San Diego, California, licensed in California (1-13-14878) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1487084091

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKATHRYN PETERSENCredential: MA

Location Address6540 LUSK BLVD STE C256San Diego, CA 92121-5795

Mailing Address13325 Calle Del Campo Unit 2San Diego, CA 92129-4687 · (858) 361-0670

Phone(858) 657-9117

Sole ProprietorYes

Enumeration DateNovember 18, 2013

✔ NPI 1487084091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · 1-13-14878

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.

6540 LUSK BLVD STE C256, San Diego, CA 92121

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 16

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

MS. ASHLEY CAROLANNE ADAMS B.A., BCABA

Behavior Analyst