Shane Morgan Petersen
Shane Morgan Petersen is a Behavior Technician in Orem, Utah. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
475 W 260 NOrem, UT 84057-1970
Phone: (801) 221-9930
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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 number | 1730809633 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 31, 2022 |
| Last updated in NPPES | August 31, 2022 |
| Certification date | August 31, 2022 |
| Mailing address | 475 W 260 N, Orem, UT 84057-1970 |
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475 W 260 N, Orem, UT 84057-2944