MEDICARE: DILLON PETERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	26-518271	TX

General Provider Information

NPI Number	:	1881537793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DILLON PETERSON

Provider Business Mailing Address
First Line	:	8668 JOHN HICKMAN PKWY STE 804
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-9386
Country	:	US
Telephone Number	:	469-922-6647
Fax Number	:

Provider Business Practice Location Address
First Line	:	8668 JOHN HICKMAN PKWY STE 804
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-9386
Country	:	US
Telephone Number	:	469-922-6647
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “ DILLON PETERSON ” Practice Location

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