MCKENTRI PETERSEN
NPI 1588247472
Behavior Technician in Bountiful, UT

Active since April 29, 2021
415 MEDICAL DR STE A100, BOUNTIFUL, UT 84010(801) 683-1062 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 26, 2024, Apr 29, 2021 (2 updates tracked since 2021).

About Mckentri Petersen NPPES

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

MCKENTRI PETERSEN (NPI 1588247472) is an individual behavior technician in Bountiful, Utah and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1588247472
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMCKENTRI PETERSEN
Location Address415 MEDICAL DR STE A100Bountiful, UT 84010-4995
Mailing Address415 Medical Dr Ste A100Bountiful, UT 84010-4995 · (801) 683-1062
Sole ProprietorNo
Enumeration DateApril 29, 2021
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
NPI 1588247472 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.
415 MEDICAL DR STE A100, Bountiful, UT 84010

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.

Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010

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 Mckentri Petersen's NPI number?

The NPI number for Mckentri Petersen is 1588247472. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Mckentri Petersen located?

Mckentri Petersen practices at 415 Medical Dr Ste A100, Bountiful, UT 84010. The listed phone number is (801) 683-1062.

What is Mckentri Petersen'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 Mckentri Petersen was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.