IndividualActive
Jessica Petersen
NPI 1073380580 · Behavior Technician · Pooler, GA
Jessica Petersen is a Behavior Technician provider in Pooler, GA (NPI 1073380580).
Provider details
- NPI number
- 1073380580
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Commerce Ct
Pooler, GA 31322-9445
Phone: (615) 560-6622
Approximate (ZIP-level) locationGet directions
Mailing address
2775 Smiths Xing
Ridgeland, SC 29936-8325
Registry dates
- Enumerated
- 2023-12-05
- Last updated
- 2023-12-05
- Certified
- 2023-12-05
Frequently asked questions
- What is Jessica Petersen's NPI number?
- Jessica Petersen's National Provider Identifier (NPI) is 1073380580, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Petersen's specialty?
- Jessica Petersen is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jessica Petersen located?
- Jessica Petersen's practice location on file with NPPES is 100 Commerce Ct, Pooler, GA 31322-9445.
- What is Jessica Petersen's phone number?
- The practice phone number listed in the NPPES registry for Jessica Petersen is (615) 560-6622.
- Is Jessica Petersen's NPI active?
- Yes — Jessica Petersen's NPI (1073380580) is active in the NPPES registry as of the last update on 2023-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.