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Deactivated NPI 1619744679 Deactivated / Inactive NPI Female Practitioner

Kaia Brianne Peterson

Behavior Technician • St Charles, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kaia Peterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 08, 2023
NPI Deactivation Date January 02, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Kaia Peterson was a registered Behavior Technician practicing in St Charles, IL. Throughout an active medical career spanning 1 years, Kaia Peterson provided care at the practice location at 2325 DEAN ST STE 750 until profile deactivation on 2024-01-02.

Practice Location & Contact Primary Location

Practice Address

2325 Dean St Ste 750

St Charles, IL 601754835

Telephone 6302860026

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in St Charles, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.1 Yrs
Regional Practice Density
120 Specialists

Practicing in St Charles, IL (9375 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

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 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

34 Associated Practitioners
Disha Kadakia

Behavior Technician

NPI 1023675915
Maylea Herrera

Behavior Analyst

NPI 1023714508
Isabell Acosta

Behavior Technician

NPI 1053173518
Shannon Schmelter

Behavior Technician

NPI 1104479138
Katie Gleason

Behavior Analyst

NPI 1144837352
Loyal Tate

Behavior Technician

NPI 1154127231

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 02, 2024

Record deactivated on January 02, 2024

NPI Profile Active December 08, 2023

NPI status registered as active in NPPES database

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Updated Practice Location December 08, 2023

Registered at 2325 DEAN ST STE 750, ST CHARLES, IL 601754835 (Tel: 6302860026)

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Updated Business Mailing Address December 08, 2023

Registered at 314 AUGUSTA AVE UNIT 4, DEKALB, IL 601153109 (Tel: 7792129329)

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Provider Name / Credentials Updated December 08, 2023

Recorded as KAIA PETERSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2023

Behavior Technician

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Initial NPI Registration & Enumeration December 08, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619744679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2023
Last Update: December 08, 2023
Deactivation Date: January 02, 2024

Mailing Address

314 Augusta Ave Unit 4

Dekalb, IL 601153109

Phone: 7792129329

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.