Active NPIIndividual provider

Tanae Peterson-Evans, BCBA

Behavior Analyst in Mount Laurel, New Jersey

NPI Number1538840863
Practice location
15000 Commerce Pkwy Ste C, Mount Laurel, NJ 08054-2212
Fax
—
Last updated
October 15, 2025

Tanae Peterson-Evans is a Behavior Analyst based in Mount Laurel, NJ. Tanae Peterson-Evans practices in Mount Laurel, NJ and has the professional credentials of BCBA. The NPI Number for Tanae Peterson-Evans is 1538840863 and holds a License No. 1-23-66470 (NJ). The current practice location address for Tanae Peterson-Evans is 15000 Commerce Pkwy Ste C, Mount Laurel, NJ 08054-2212 and can be reached out via phone at 561-202-3338.

Provider Profile Details

NPI Number
1538840863
Provider Name
Tanae Peterson-Evans
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
15000 Commerce Pkwy Ste C, Mount Laurel, NJ 08054-2212
Phone Number
561-202-3338
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2023
Last Update Date
October 15, 2025
Certification Date
October 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
15000 Commerce Pkwy Ste C
Mount Laurel, NJ 08054-2212
Zip
08054-2212
Phone Number
561-202-3338
Mount Laurel, NJ 08054Get directions →

Provider Business Mailing Address Details

Address
542 Amherst St Ste B
Nashua, NH 03063-1016
City
Nashua
State
NH
Zip
03063-1016
Phone Number
561-202-3338

License Information

License Number
1-23-66470
License State
NJ
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tanae Peterson-Evans, BCBA?

The NPI number of Tanae Peterson-Evans, BCBA is 1538840863. It was assigned on July 28, 2023 and is currently active in the NPPES registry.

What is the specialty of Tanae Peterson-Evans, BCBA?

Tanae Peterson-Evans, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 1-23-66470.

Where does Tanae Peterson-Evans, BCBA practice?

The practice location is 15000 Commerce Pkwy Ste C, Mount Laurel, NJ 08054-2212. The office can be reached at 561-202-3338 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538840863 directly on the NPPES registry website.

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