Individual
EMILY SALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
695 S COLORADO BLVD STE 20, DENVER, CO 80246-8010
(303) 360-0727
Mailing address
675 LAKEVIEW AVE, BIRMINGHAM, MI 48009-3828
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001737
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2012
Last updated
10/28/2022
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