IndividualActive
Antoinette Petersen
NPI 1366305773 · Behavior Technician · Petaluma, CA
Antoinette Petersen is a Behavior Technician provider in Petaluma, CA (NPI 1366305773).
Provider details
- NPI number
- 1366305773
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- BACB1321488 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% 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
1949 Old Adobe Rd
Petaluma, CA 94954-9534
Phone: (707) 303-5310
Street-level locationGet directions
Mailing address
1949 Old Adobe Rd
Petaluma, CA 94954-9534
Registry dates
- Enumerated
- 2025-12-03
- Last updated
- 2025-12-03
- Certified
- 2025-12-03
Frequently asked questions
- What is Antoinette Petersen's NPI number?
- Antoinette Petersen's National Provider Identifier (NPI) is 1366305773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Antoinette Petersen's specialty?
- Antoinette Petersen is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Antoinette Petersen located?
- Antoinette Petersen's practice location on file with NPPES is 1949 Old Adobe Rd, Petaluma, CA 94954-9534.
- What is Antoinette Petersen's phone number?
- The practice phone number listed in the NPPES registry for Antoinette Petersen is (707) 303-5310.
- Is Antoinette Petersen's NPI active?
- Yes — Antoinette Petersen's NPI (1366305773) is active in the NPPES registry as of the last update on 2025-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.