Healthcare Provider Details

I. General information

NPI: 1083531990
Provider Name (Legal Business Name): K2T
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N REDWOOD RD STE 3
NORTH SALT LAKE UT
84054-2793
US

IV. Provider business mailing address

120 N REDWOOD RD STE 3
NORTH SALT LAKE UT
84054-2793
US

V. Phone/Fax

Practice location:
  • Phone: 425-518-9850
  • Fax:
Mailing address:
  • Phone: 425-518-9850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: CHELSEIGH HUNT
Title or Position: CONTRACTOR
Credential: BCBA
Phone: 385-386-2086