Peterson, Breanna

Peterson, Breanna is an individual health care provider with primary practice located at 2540 E Bengal Blvd Ste 300 , Cottonwood Heights UT 84121-5157. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Peterson, Breanna can be contacted via phone (801) 495-5100.

Contact Information

Primary practice address
2540 E Bengal Blvd Ste 300 Cottonwood Heights UT 84121-5157
Phone: (801) 495-5100
Fax: (801) 495-5102
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1225634538
LBN Legal business name Peterson, Breanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2020
Last updated Dec 10th, 2020 - about 6 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.

Request for update

Popular Providers