Zoe Peterson

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

1450 Daniels Rd # 1
Winter Garden, FL 34787-4376

Phone

(407) 395-9976

NPI assigned

Aug 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Metamorphosis Therapy LLC

  • Behavior Technician
  • Winter Garden, FL
  • NPI 1477008407
  NPD
• Metamorphosis Therapy, LLC

  • Speech-Language Pathologist
  • Winter Garden, FL
  • NPI 1942519103
  NPD

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1205351012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 DANIELS RD # 1",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874376",
            "telephone_number": "407-395-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 DANIELS RD # 1",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874376",
            "telephone_number": "407-395-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ZOE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Jean Perre
• Maya Persaud
• Shania Devika Persaud, RBT
• Samantha Peters, PT
• Andrew Petersen
• Kaitlyn Petrone, PTA
• Shaila Philip, MS, RD, LD/N
• Viktoria Phillips, MSW
• Physician Associates LLC
• Physician Associates LLC

• Assistant Behavior Analyst in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.