Individual
EMILY SAGENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9019 WASHINGTON ST NE STE A, ALBUQUERQUE, NM 87113-2435
(505) 856-6880
Mailing address
2657 S WILSON DR, HURRICANE, UT 84737-7708
(435) 668-9781
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
9197626-2506
UT
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174931083
—
UT
Enumeration date
07/24/2014
Last updated
07/27/2020
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