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Individual

AVERY PETTIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
60 E 100 N, RICHFIELD, UT 84701-2694
(801) 255-5131
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/10/2026
Last updated
03/10/2026
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