Individual
EMILIA ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2540 E BENGAL BLVD STE 300, COTTONWOOD HEIGHTS, UT 84121-5157
(801) 495-5105
(801) 495-5106
Mailing address
2540 E BENGAL BLVD STE 300, COTTONWOOD HEIGHTS, UT 84121-5157
(801) 495-5105
(801) 495-5106
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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