Kristina Lee Peterson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

15000 Commerce Pkwy
Mount Laurel, NJ 08054-2212

Phone

(855) 647-6888

NPI assigned

Aug 8, 2024

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.

• ABA Centers of New Jersey LLC

  • Behavior Analyst
  • Bridgewater, NJ
  • NPI 1750091724
  NPD (past)

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1528899945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 AMHERST ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 COMMERCE PKWY",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542212",
            "telephone_number": "855-647-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KRISTINA",
        "middle_name": "LEE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perspective Counseling and Wellness,LLC
• Adam Dean Perzin, M.D.
• Annie Elizabeth Petela, M.A., BCBA
• Tanae Peterson-Evans, BCBA
• John W. Peterson, M.D.
• Rachel Petrin, MS CCC-SLP
• Frank P Pettinelli, D.O.
• Colleen E Pflaumer, OTR/L
• Mary-Kate Phillips
• Phoenix Housecall Associates of South Jersey

• Behavior Analyst in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.