Individual
JEFFREY JOSEPH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
162 N 400 E STE A-105, ST. GEORGE, UT 84770
(435) 275-8911
(435) 200-9442
Mailing address
162 N 400 E STE A105, ST GEORGE, UT 84770-7192
(435) 275-8911
(435) 200-9442
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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