KERRY PETERSON M.A., CCC/SLP, BCBA
NPI 1720371933
Behavior Analyst in West Bloomfield, MI

Q: What is Kerry Peterson's NPI number?

The NPI number for Kerry Peterson is 1720371933. It was assigned to this individual provider in the NPPES registry on May 20, 2011.

Q: What is Kerry Peterson'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 Kerry Peterson was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 20, 2011

6625 DALY RD, WEST BLOOMFIELD, MI 48322(248) 737-3430(248) 737-3433 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kerry Peterson M.a., Ccc/slp, Bcba NPPES

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

KERRY PETERSON M.A., CCC/SLP, BCBA (NPI 1720371933) is an individual behavior analyst provider in West Bloomfield, Michigan and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1720371933

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKERRY PETERSONCredential: M.A., CCC/SLP, BCBA

Location Address6625 DALY RDWest Bloomfield, MI 48322-3410

Mailing Address4290 Boulder Pond DrAnn Arbor, MI 48108-8624 · (248) 737-3430 · Fax (248) 737-3433

Phone(248) 737-3430

Fax(248) 737-3433

Sole ProprietorNo

Enumeration DateMay 20, 2011

Last NPPES UpdateSeptember 22, 2016

✔ NPI 1720371933 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 ListedSpeech-Language PathologistTaxonomy 235Z00000X

6625 DALY RD, West Bloomfield, MI 48322

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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.

LINDSAY MUNCEY MA, BCBA, LBA

Behavior Analyst