Individual
EMBERLEIGH MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 N 2350 W, FARR WEST, UT 84404-5177
(801) 452-1940
(801) 658-0604
Mailing address
2811 N 2350 W, FARR WEST, UT 84404-5177
(801) 452-1940
(801) 872-8757
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
07/16/2019
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