Individual
EMILY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
533 W STATE RD # 103, PLEASANT GROVE, UT 84062-2114
(801) 506-6695
Mailing address
520 N 500 E, PROVO, UT 84606-1815
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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