IndividualActive
Conner Peterson, RBT
NPI 1790486330 · Behavior Technician · Providence, UT
Provider details
- NPI number
- 1790486330
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
525 W 465 N Ste 120
Providence, UT 84332-5604
Phone: (801) 655-4950
Approximate (ZIP-level) locationGet directions
Mailing address
1443 W 800 N Ste 103
Orem, UT 84057-2878
Additional practice locations (1)
- 545 W 465 N Ste 100Providence, UT 84332-8004Phone: (801) 655-4950
Registry dates
- Enumerated
- 2023-03-10
- Last updated
- 2023-03-10
- Certified
- 2023-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.