Christie Petersen, M.ED., LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1378 Issued in TX

Practice address

11623 Angus Rd Ste 20
Austin, TX 78759

Phone

(512) 827-7011

Fax

(512) 382-1190

NPI assigned

Jun 9, 2010

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

Credentials

Master of Education

State licenses

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.

• Building Blocs (Behavior and Language Opportunities for Communication

  • Behavior Analyst
  • Austin, TX
  • NPI 1376857870
  NPD Authorized official

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1598085813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 ANGUS RD STE 20",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594041",
            "telephone_number": "512-827-7011",
            "fax_number": "512-382-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11623 ANGUS RD STE 20",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78759",
            "telephone_number": "512-827-7011",
            "fax_number": "512-382-1190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9707 Anderson Mill Rd",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787502298",
            "country_code": "US",
            "telephone_number": "512-827-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "CHRISTIE",
        "credential": "M.ED., LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joellen M Peters, PH.D.
• Lindsie Nicole Peters
• Mary Katharine Peters, D.D.S.
• Sheila Ann Peters, CRNA
• Bethany Anne Petersen, DDS
• Megan Petersen, PT, DPT
• Michael Charles Petersen, M.D.
• Michael G Petersen, PA-C
• Rosann Petersen, RDN
• Ashley Paige Jordan Peterson Sconzo, AU.D.

• Behavior Analyst in Austin, TX
• Providers in Austin, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.