Petersen, Carli Kae

Petersen, Carli Kae is an individual health care provider with primary practice located at 7434 S State St , Midvale UT 84047-2014. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Petersen, Carli Kae can be contacted via phone (801) 456-9955.

Contact Information

Primary practice address
7434 S State St Midvale UT 84047-2014
Phone: (801) 456-9955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1225781479
LBN Legal business name Petersen, Carli Kae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2022
Last updated Jan 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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