RICHARD KYLE PETERSEN (NPI# 1972094514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972094514 |
| Entity Type | Individual |
| Full Name | RICHARD KYLE PETERSEN |
| Practice Address |
5800 S Highland Dr Holladay UT 84121-1359 |
| Practice Telephone | 8012729980 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659696763 | Richard Petersen | Pharmacist | 11719 150th Ave, S Ozone Park, NY 11420-4020 | 2010-03-31 |
| 1841381332 | Richard M Petersen | Counselor | Usameddac Wuerzburg, Ansbach Middle High School, Ansbach, GERMANY 09177 | 2006-09-27 |
| 1043515224 | Richard Petersen | Pharmacist | 1227 15th Ave, Longview, WA 98632-3022 | 2011-01-19 |
| 1841431723 | Richard Joseph Petersen | Radiology | 475 S Dobson Rd, Chandler, AZ 85224-5605 | 2009-03-23 |
| 1316019862 | Richard Wayne Petersen | Chiropractor | 1309 S Mary Ave, Suite 100, Sunnyvale, CA 94087-3050 | 2006-11-13 |
| 1841203197 | Richard Alphonso Petersen | Obstetrics & Gynecology | 6200 Sunset Dr, Suite 502, South Miami, FL 33143-4828 | 2006-08-15 |
| 1407867161 | Richard Nels Petersen | Optometrist | 1745 W Avenue K, Suite A, Lancaster, CA 93534-6502 | 2006-08-10 |
| Street Address |
5800 S HIGHLAND DR |
| City | HOLLADAY |
| State | UT |
| Zip Code | 84121-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750866265 | Carrie Jo Ferguson | Social Worker | 5800 S Highland Dr, Holladay, UT 84121-1359 | 2018-10-01 |
| 1700377959 | Lynette Moore | Behavioral Analyst | 5800 S Highland Dr, Holladay, UT 84121-1359 | 2018-05-23 |
| 1366933509 | Alyssa Peiffer | Behavioral Analyst | 5800 S Highland Dr, Holladay, UT 84121-1359 | 2018-05-23 |
| 1689165839 | Autum Cates | Behavioral Analyst | 5800 S Highland Dr, Holladay, UT 84121-1359 | 2018-05-23 |
| 1871084020 | Latesia Higgins | Behavioral Analyst | 5800 S Highland Dr, Holladay, UT 84121-1359 | 2018-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194132969 | Treichae Janae Hays Holmes | Behavioral Analyst | 4767 S 2124 E, 3, Holladay, UT 84117-5336 | 2014-07-14 |
| 1700377959 | Lynette Moore | Behavioral Analyst | 5800 S Highland Dr, Holladay, UT 84121-1359 | 2018-05-23 |
| 1366933509 | Alyssa Peiffer | Behavioral Analyst | 5800 S Highland Dr, Holladay, UT 84121-1359 | 2018-05-23 |
| 1689165839 | Autum Cates | Behavioral Analyst | 5800 S Highland Dr, Holladay, UT 84121-1359 | 2018-05-23 |
| 1871084020 | Latesia Higgins | Behavioral Analyst | 5800 S Highland Dr, Holladay, UT 84121-1359 | 2018-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649013 | Torrey Lyn Larisch | Behavioral Analyst | 1722 E 280 N # 84790, St George, UT 84790-1631 | 2020-11-08 |
| 1376144022 | Balance In Behavior | Behavioral Analyst | 283 E 300 S, Centerville, UT 84014-2258 | 2020-11-07 |
| 1972101657 | Fabian House | Behavioral Analyst | 3118 N 1200 W, Lehi, UT 84043-7462 | 2020-10-14 |
| 1659985521 | Adrianna Hall | Behavioral Analyst | 1219 E Emerson Ave, Salt Lake City, UT 84105-2529 | 2020-09-08 |
| 1790397115 | Sierra Jade Cole Arrant | Behavioral Analyst | 270 W 800 S, Richfield, UT 84701-2839 | 2020-08-18 |
| 1033727664 | Elisa Nataly Mendoza | Behavioral Analyst | 532 W 1550 N, Lehi, UT 84043-2884 | 2020-07-20 |
| 1518589670 | Neurosuccess, Inc | Behavioral Analyst | 331 E 200 S, Clearfield, UT 84015-1007 | 2020-05-12 |
| 1528692472 | Christine Manning | Behavioral Analyst | 2025 S 50 W, Bountiful, UT 84010-5559 | 2020-03-01 |
| 1699305268 | Melanie Smith | Behavioral Analyst | 230 N 1680 E Ste U1, St George, UT 84790-2571 | 2020-01-22 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RICHARD KYLE PETERSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.