Individual
BRYNN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2825 E COTTONWOOD PKWY STE 500, SALT LAKE CITY, UT 84121-7060
(385) 442-5895
Mailing address
659 N 700 E APT 5, PROVO, UT 84606-6905
(385) 442-5895
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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