Tayla Wiberg

NPI #1164279048 in Draper, Utah

Provider Information

NPI Number: 1164279048
Entity Type: Individual
Name: Tayla Wiberg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 30, 2024
Last Updated: Apr 30, 2024

Practice Location

Address: 12222 S 1000 E STE 3
City: Draper
State: Utah
ZIP Code: 84020-3203
Phone: (801) 987-3592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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