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1174927867
TARA PETERSON
SAN MATEO, CA
NPI
1174927867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-14-10439)
Enumeration Date
2014-10-09
Last Update Date
2014-10-09
Business Address
Ms. TARA PETERSON BCBA
424 PENINSULA AVE
SAN MATEO, CA 94401-1653
Phone number: 650-286-4396
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Mailing Address
Ms. TARA PETERSON BCBA
1511 GOUGH ST #102
SAN FRANCISCO, CA 94109-5366
Phone number: 310-351-9326
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