What is Kellyn Peterson's NPI number?

Kellyn Peterson's National Provider Identifier (NPI) is 1114567914, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kellyn Peterson's specialty?

Kellyn Peterson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Kellyn Peterson located?

Kellyn Peterson's practice location on file with NPPES is 12222 S 1000 E Ste 3, Draper, UT 84020-3203.

What is Kellyn Peterson's phone number?

The practice phone number listed in the NPPES registry for Kellyn Peterson is (801) 987-3592.

Is Kellyn Peterson's NPI active?

Yes — Kellyn Peterson's NPI (1114567914) is active in the NPPES registry as of the last update on 2020-01-09.

IndividualActive

Kellyn Peterson

NPI 1114567914 · Behavior Technician · Draper, UT

Kellyn Peterson is a Behavior Technician provider in Draper, UT (NPI 1114567914).

Provider details

NPI number: 1114567914
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

12222 S 1000 E Ste 3

Draper, UT 84020-3203

Phone: (801) 987-3592

Street-level locationGet directions

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Mailing address