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

Kellyn Peterson

Individual provider Behavior Technician · NPI 1114567914

Kellyn Peterson is a Behavior Technician in Draper, Utah. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

12222 S 1000 E Ste 3
Draper, UT 84020-3203
Phone: (801) 987-3592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1114567914
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 9, 2020
Last updated in NPPESJanuary 9, 2020
Certification dateJanuary 9, 2020
Mailing address12222 S 1000 E Ste 3, Draper, UT 84020-3203

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