Breanna Nicole Wirth

NPI #1780259713 in Orem, Utah

Provider Information

NPI Number: 1780259713
Entity Type: Individual
Name: Breanna Nicole Wirth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 21, 2021
Last Updated: Jul 9, 2025

Practice Location

Address: 1140 W 1130 S
Address 2: STE. B
City: Orem
State: Utah
ZIP Code: 84058
Phone: (801) 935-4171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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