Individual
EMMA SALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2990 N PERRYVILLE RD, ROCKFORD, IL 61107-6814
(815) 469-1500
Mailing address
9500 BORMET DR STE 304, MOKENA, IL 60448-8399
(815) 410-1347
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
06/23/2022
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