Individual
EMILY ROSE SHAFTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Mailing address
12222 S 1000 E STE 3, DRAPER, UT 84020-3203
(801) 987-3592
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/02/2020
Last updated
02/22/2021
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