Individual
EMMA NICOLE TEASDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 S 1350 W, OREM, UT 84058-3817
(801) 935-4171
Mailing address
1099 W 250 S, MAPLETON, UT 84664-4333
(801) 318-3739
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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