MACKENZIE ERIN PETERSON
NPI 1629633565
Behavior Analyst in San Mateo, CA

Q: What is Mackenzie Peterson's NPI number?

The NPI number for Mackenzie Peterson is 1629633565. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Q: What is Mackenzie Peterson's specialty?

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

Active since May 06, 2019

400 CONCAR DR STE 4-134, SAN MATEO, CA 94402(650) 931-6300 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, Apr 24, 2024, May 8, 2019 (3 updates tracked since 2019).

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About Mackenzie Erin Peterson NPPES

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

MACKENZIE ERIN PETERSON (NPI 1629633565) is an individual behavior analyst provider in San Mateo, California and active in the NPI registry since May 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629633565

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMACKENZIE ERIN PETERSON

Location Address400 CONCAR DR STE 4-134San Mateo, CA 94402-2681

Mailing Address400 Concar Dr Ste 4-134San Mateo, CA 94402-2681 · (650) 931-6300

Phone(650) 931-6300

Sole ProprietorNo

Enumeration DateMay 6, 2019

Last NPPES UpdateMay 8, 20243 updates tracked since enumeration

NPPES CertifiedMay 8, 2024

✔ NPI 1629633565 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

400 CONCAR DR STE 4-134, San Mateo, CA 94402

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Secondary Practice Locations 2

Location 11171 Homestead Rd Ste 250Santa Clara, CA 95050-5485 · Phone (408) 320-2590

Location 26129 Silberman DrSan Jose, CA 95120-3965 · Phone (408) 624-0814

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.

JOSE RAFAEL FUENTES JR.

Behavior Technician