Individual
EMILY SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2406 14TH AVE, GREELEY, CO 80631-8315
(817) 789-0062
Mailing address
2406 14TH AVE, GREELEY, CO 80631-8315
(817) 789-0062
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41064
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-41064
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
03/24/2022
Last updated
03/24/2022
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