Braxten Petersen

Behavior Technician · Grantsville, UT

Individual Active NPI

NPI number 1801636444

Practice location

512 S Sheep Ln
Grantsville, UT 84074-8270
Phone
(801) 935-4171

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NPI record

NPI
1801636444
Entity type
Individual (Type 1)
Enumeration date
May 30, 2024
Last updated
May 30, 2024
Certified
May 30, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

16255 Ventura Blvd Ste 830
Encino, CA 91436-2317

About Braxten Petersen

Braxten Petersen is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 512 S Sheep Ln, Grantsville, UT 84074-8270. The NPI number 1801636444 was assigned on May 30, 2024 and the record was last updated on May 30, 2024.

Frequently asked questions

What is the NPI number of Braxten Petersen?

The NPI number is 1801636444.

What is the phone number of Braxten Petersen?

The phone number listed for the practice location is (801) 935-4171.

Where is Braxten Petersen located?

512 S Sheep Ln, Grantsville, UT 84074-8270.

What is the taxonomy code for Braxten Petersen?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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