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

Taryn Peterson

Individual provider Community/Behavioral Health Agency · NPI 1144059528

Taryn Peterson is a Community/Behavioral Health Agency in Eagle, Idaho. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

738 S Bridgeway Pl Ste 150
Eagle, ID 83616-6953
Phone: (888) 392-8642
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1144059528
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2024
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address2627 Commodore Rd, Idaho Falls, ID 83406-7551

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