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JEREMY PETTERSSON
NPI 1316765506
Behavior Technician in Salt Lake City, UT

Active since September 27, 2024
222 S MAIN ST, SALT LAKE CITY, UT 84101(855) 223-7123 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeremy Pettersson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY PETTERSSON (NPI 1316765506) is an individual behavior technician in Salt Lake City, Utah and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1316765506
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJEREMY PETTERSSON
Location Address222 S MAIN STSalt Lake City, UT 84101-2174
Mailing AddressPo Box 33568San Diego, CA 92163-3568 · (855) 223-7123 · Fax (619) 374-7134
Phone(855) 223-7123
Sole ProprietorNo
Enumeration DateSeptember 27, 2024
NPPES CertifiedSeptember 27, 2024
✔ NPI 1316765506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

222 S MAIN ST, Salt Lake City, UT 84101
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MARC B GUNDERSON LCSW
Social Worker (Clinical)
222 S MAIN ST, SUITE 500
SALT LAKE CITY, UT 84101
Salt Lake County (385) 282-5125
DR. STEPHEN BROCKBANK O.D.
Optometrist
222 S MAIN ST, SUITE 110
SALT LAKE CITY, UT 84101
Salt Lake County (801) 456-2020
WB EYECARE LLC
Optometrist
222 S MAIN ST, SUITE 110
SALT LAKE CITY, UT 84101
Salt Lake County (801) 456-2020
MOLLY ALDRIDGE M. ED
Developmental Therapist
222 S MAIN ST, 5TH FLOOR
SALT LAKE CITY, UT 84101
Salt Lake County (231) 409-2022
SUSAN LYN PICOU
Behavior Technician
222 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (855) 223-7123
KIMBERLY RAE FENSTERMAKER
Behavior Technician
222 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (855) 223-7123
JANILYN VALDEZ
Behavior Technician
222 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (855) 223-7123
JARED ALMY
Behavior Technician
222 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (855) 223-7123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Pettersson's NPI number?

The NPI number for Jeremy Pettersson is 1316765506. It was assigned to this individual provider in the NPPES registry on September 27, 2024.

Where is Jeremy Pettersson located?

Jeremy Pettersson practices at 222 S Main St, Salt Lake City, UT 84101. The listed phone number is (855) 223-7123.

What is Jeremy Pettersson's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Pettersson was last updated on September 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.