Provider Demographics
NPI:1891439519
Name:FIRKINS, PAIGE (RBT)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:FIRKINS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 W HIGHWAY 40 STE B
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-4203
Mailing Address - Country:US
Mailing Address - Phone:143-562-1166
Mailing Address - Fax:
Practice Address - Street 1:1360 W HIGHWAY 40 STE B
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-4203
Practice Address - Country:US
Practice Address - Phone:143-562-1166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician