Wellformed AI

NPI 1508303165 · live from the CMS NPI Registry

Brianna Berghout

Behavior Technician in Orem, UT. National Provider Identifier 1508303165, active.

NPI record

NPI1508303165 Type 1 · individual
StatusActive
Primary specialtyBehavior Technician 106S00000X
Practice location475 W 260 N, Orem, UT 84057
Practice phone801-221-9930
EnumeratedJanuary 20, 2017
Last updatedDecember 11, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X—
Behavior Technician primary106S00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.