Individual
RACHELLE NORA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 S KOMAS DR STE 200, SALT LAKE CITY, UT 84108-1241
(801) 440-5737
Mailing address
650 S KOMAS DR STE 200, SALT LAKE CITY, UT 84108-1241
(801) 440-5737
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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