Holley Ann Peterson-Funn

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

2973 W Meyers Rd
San Bernardino, CA 92407-5140

Phone

(909) 205-4562

NPI assigned

Oct 6, 2025

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1649145111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 W MEYERS RD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924075140",
            "telephone_number": "909-205-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 W MEYERS RD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924075140",
            "telephone_number": "909-205-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON-FUNN",
        "first_name": "HOLLEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Inger Persson, PT
• Prinka Perswani, MD
• Nelly M Pete
• Matthew Peterkin, SRNA
• Jessica Alicia Petersen
• Jacquelyn Peterson, PSY.D.
• Ly Ngoc Petrie, D.D.S.
• Amanda Petros, SLP
• Georgia Pettie
• Alexandra Lauren Pettus, NURSE PRACTITIONER

• Assistant Behavior Analyst in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Assistant Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.