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)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
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
Frequently asked questions
- What is Makenzie Peterson's NPI number?
- Makenzie Peterson's National Provider Identifier (NPI) is 1508666082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Makenzie Peterson's specialty?
- Makenzie Peterson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Makenzie Peterson located?
- Makenzie Peterson's practice location on file with NPPES is 3125 Willowcreek Rd, Portage, IN 46368-4423.
- What is Makenzie Peterson's phone number?
- The practice phone number listed in the NPPES registry for Makenzie Peterson is (574) 387-4313.
- Is Makenzie Peterson's NPI active?
- Yes — Makenzie Peterson's NPI (1508666082) is active in the NPPES registry as of the last update on 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.