Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417880436 Individual Practitioner Female Practitioner

Edriel Peterson

Behavior Technician • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Edriel Peterson is a registered healthcare professional specializing in Behavior Technician in Orange Park, FL. Practice services are available at 1567 KINGSLEY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1567 Kingsley Ave

Orange Park, FL 320734510

Telephone 9046029742
Fax 9046374724
Associated Practice Facility / Clinic
🏢 Florida Autism Center Facility NPI 1942743018

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
272 Specialists

Practicing in Orange Park, FL (75895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-08
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License FL 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Daniel Mcwhite

Behavior Technician

NPI 1013521061
Maegan Howell , BCBA

Behavior Analyst

NPI 1063834059

Board Certified Behavior Analyst

Kristyn Bradley , BS

Behavior Technician

NPI 1083152722

Bachelor of Science

Teia Mays

Behavior Technician

NPI 1124941380
Dana Johnson

Behavior Technician

NPI 1376212779
Kaylee Maynard

Behavior Analyst

NPI 1407412943

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 08, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2026

Registered at 1567 KINGSLEY AVE, ORANGE PARK, FL 320734510 (Tel: 9046029742)

📍
Updated Business Mailing Address June 08, 2026

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028 (Tel: 8666100580)

👤
Provider Name / Credentials Updated June 08, 2026

Recorded as EDRIEL PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2026

Behavior Technician (License #106S00000X in FL)

🟢
Initial NPI Registration & Enumeration June 08, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Edriel Peterson. Be the first to share your experience!

Sign in to leave a review for Edriel Peterson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1417880436
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2026
Last Update: June 08, 2026
Sole Proprietor: No

Mailing Address

300 International Pkwy Ste 200

Lake Mary, FL 327465028

Phone: 8666100580

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.