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NPI Code Detail

MEDICARE: CLAIRE JANE PETERSEN

MEDICARE: CLAIRE JANE PETERSEN
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1659240968
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE JANE PETERSEN
Provider Business Mailing Address
First Line : 175 WESTFIELD BLVD STE 120
Second Line :
City : TEMPLE
State : TX
Zip : 76502-4524
Country : US
Telephone Number : 254-677-7235
Fax Number :
Provider Business Practice Location Address
First Line : 175 WESTFIELD BLVD STE 120
Second Line :
City : TEMPLE
State : TX
Zip : 76502-4524
Country : US
Telephone Number : 254-677-7235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2025
Last Update Date : 11/04/2025

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Directions to “ CLAIRE JANE PETERSEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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