IndividualActive
Makenzie Peterson
NPI 1508666082 · Behavior Technician · Portage, IN
Makenzie Peterson is a Behavior Technician provider in Portage, IN (NPI 1508666082).
Provider details
- NPI number
- 1508666082
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-25-419197 (IN)
Practice location
3125 Willowcreek Rd
Portage, IN 46368-4423
Phone: (574) 387-4313
Street-level locationGet directions
Mailing address
215 Red Coach Dr
Mishawaka, IN 46545-8307
Registry dates
- Enumerated
- 2025-03-14
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.