IndividualActive
Eden Wirtz
NPI 1174328165 · Behavior Technician · Fowler, IN
Provider details
- NPI number
- 1174328165
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-22-209536 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
106 N Park Ave
Fowler, IN 47944-1369
Phone: (765) 585-6615
Approximate (ZIP-level) locationGet directions
Mailing address
106 N Park Ave
Fowler, IN 47944-1369
Registry dates
- Enumerated
- 2025-02-14
- Last updated
- 2025-02-14
- Certified
- 2025-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.