What is Shane Petersen's NPI number?

Shane Petersen's National Provider Identifier (NPI) is 1730809633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Petersen's specialty?

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

Where is Shane Petersen located?

Shane Petersen's practice location on file with NPPES is 475 W 260 N, Orem, UT 84057-1970.

What is Shane Petersen's phone number?

The practice phone number listed in the NPPES registry for Shane Petersen is (801) 221-9930.

Is Shane Petersen's NPI active?

Yes — Shane Petersen's NPI (1730809633) is active in the NPPES registry as of the last update on 2022-08-31.

IndividualActive

Shane Petersen

NPI 1730809633 · Behavior Technician · Orem, UT

Shane Petersen is a Behavior Technician provider in Orem, UT (NPI 1730809633).

Provider details

NPI number: 1730809633
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(53/100 index)

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

Registry tenure38% of score
3 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

475 W 260 N

Orem, UT 84057-1970

Phone: (801) 221-9930

Street-level locationGet directions

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Mailing address