Individual
EMMA SELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
Mailing address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
(801) 935-4946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12196707-2506
UT
106S00000X
Behavior Technician
RBT-18-52574
UT
Other
Enumeration date
11/26/2020
Last updated
03/08/2021
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