# EMMA L MALMGREN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528581758
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | 11936236 | VA | Yes |

## Other

- **Enumeration date:** 07/19/2017
- **Last updated:** 05/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1-19-36236 | BOARD CERTIFIED BEHAVIOR ANALYST | VA |
| 01 | — | 106S00000X | BEHAVIOR TECHNICIAN | VA |