Individual
EMMA VEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6033 FASHION POINT DR, SOUTH OGDEN, UT 84403-4847
(804) 549-8821
Mailing address
1105 W RUSSELL ST, SIOUX FALLS, SD 57104-1322
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-282150
UT
Other
Enumeration date
04/20/2022
Last updated
07/18/2023
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