Individual
EMILY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N 2150 W, CEDAR CITY, UT 84721-4940
(435) 586-4078
Mailing address
1443 W 800 N STE 103, OREM, UT 84057-2878
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-365452
UT
Other
Enumeration date
05/03/2024
Last updated
04/24/2025
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