Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Braxten Petersen

Individual provider Behavior Technician · NPI 1801636444

Braxten Petersen is a Behavior Technician in Grantsville, Utah. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

512 S Sheep Ln
Grantsville, UT 84074-8270
Phone: (801) 935-4171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1801636444
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 30, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address16255 Ventura Blvd Ste 830, Encino, CA 91436-2317

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