Amy Marie Peters, M.ED., CCC-SLP, BCBA
Individual provider Active NPI Behavior Analyst · Mountain Green, UT
NPI 1013229673 · NPPES record last updated Jul 11, 2010
Key facts
- NPI
- 1013229673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-10-7242 (UT)
- Practice address
- 3986 Lilac LN
Mountain Green, UT 84050-6800 - Phone
- (801) 876-3949
- NPI assigned
- Jul 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09138092 | UT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-10-7242 | UT | Yes |
| Speech-Language Pathologist | 235Z00000X | 09138092 | UT |
Addresses
Primary practice location
3986 Lilac LN
Mountain Green, UT 84050-6800
Mailing address
3986 Lilac LN
Mountain Green, UT 84050-6800
Phone (801) 876-3949
Other providers in Mountain Green, UT
- Brandon Richard Dabb
- Douglas L Miner MD PC
- Jordan Harding
- Jennie McFarland
- Mindful Mental Health of Utah LLC
- Physical Therapy and Sports Medicine LLC
- Reprieve Recovery Center LLC
- Kristin Steele
- Sweet Dreams,LLC
All providers in Mountain Green, UT · Behavior Analyst in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.