Kasey Graham Petersen, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

89 Old Trolley Rd # B
202
Summerville, SC 29485-4951

Phone

(843) 875-0017

Fax

(843) 486-8394

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Meeting Milestones, LLC

  • Behavior Analyst
  • Mount Pleasant, SC
  • NPI 1063127124
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1174867022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MATHER GREEN AVE APT C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035676",
            "telephone_number": "803-524-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 OLD TROLLEY RD # B",
            "address_2": "202",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854951",
            "telephone_number": "843-875-0017",
            "fax_number": "843-486-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "KASEY",
        "middle_name": "GRAHAM",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Pero, D.C.
• Marilyn Marie Perreault
• Shevagene Perry
• Khayah Peters
• Allison Marie Petersen
• Hillary Peterson, MA, ED.S, NCSP, LPES
• Jill M Peterson, M.D.
• Lauren Peterson, DO
• Michelle Felice Peterson, APRN
• Janet M Petitte, MS CCC/A

• Behavior Analyst in Summerville, SC
• Providers in Summerville, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.