IndividualActive
Breeston Petersen
NPI 1164110763 · Behavior Technician · Southfield, MI
Breeston Petersen is a Behavior Technician provider in Southfield, MI (NPI 1164110763).
Provider details
- NPI number
- 1164110763
- 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(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
29566 Northwestern Hwy Ste 100
Southfield, MI 48034-1036
Phone: (833) 328-8476
Street-level locationGet directions
Mailing address
29566 Northwestern Hwy Ste 100
Southfield, MI 48034-1036
Registry dates
- Enumerated
- 2023-05-01
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Frequently asked questions
- What is Breeston Petersen's NPI number?
- Breeston Petersen's National Provider Identifier (NPI) is 1164110763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Breeston Petersen's specialty?
- Breeston Petersen is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Breeston Petersen located?
- Breeston Petersen's practice location on file with NPPES is 29566 Northwestern Hwy Ste 100, Southfield, MI 48034-1036.
- What is Breeston Petersen's phone number?
- The practice phone number listed in the NPPES registry for Breeston Petersen is (833) 328-8476.
- Is Breeston Petersen's NPI active?
- Yes — Breeston Petersen's NPI (1164110763) is active in the NPPES registry as of the last update on 2023-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.