| NPI | 1194197418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTYN PETERSON Owner/Bcba 801-548-0680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 1-15-19635) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |