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Caroline Jordan Peterson

Behavior Technician in Fayetteville, NC. Individual provider (NPI-1).

NPI number1386581700
StatusActive
Last updated in NPPESMay 4, 2026

Details

NPI
1386581700
Entity type
Individual (NPI-1)
Name
Caroline Jordan Peterson
Sex
Female
Sole proprietor
No
Enumeration date
May 4, 2026
Certification date
May 2, 2026
Last updated
May 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–NCYes

Practice location

351 Wagoner Dr Ste 325
Fayetteville, NC 28303-4674

Phone 910-491-0061

Mailing address

539 Nottingham Dr
Fayetteville, NC 28311-1333

Phone 910-777-4157

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