Petersen, Kylee

Petersen, Kylee is an sole proprietor health care provider with primary practice located at 12222 S 1000 E Ste 3 , Draper UT 84020-3203. 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, Kylee can be contacted via phone (801) 987-3592.

Contact Information

Primary practice address
12222 S 1000 E Ste 3 Draper UT 84020-3203
Phone: (801) 987-3592
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1083386338
LBN Legal business name Petersen, Kylee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2021
Last updated Oct 4th, 2021 - about 5 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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