Healthcare Provider Details

I. General information

NPI: 1891256681
Provider Name (Legal Business Name): HUNTER STEPHEN PETERS MS, BCBA, LBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 SPRING ST STE 4
PETOSKEY MI
49770-2881
US

IV. Provider business mailing address

935 WESTBROOKE DR
SOUTH LYON MI
48178-1671
US

V. Phone/Fax

Practice location:
  • Phone: 231-268-0007
  • Fax:
Mailing address:
  • Phone: 238-561-7996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number7401003055
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: