EMMALINE PARK

Behavior Technician

Active Individual
NPI: 1023784295

Practice Address

415 MEDICAL DR STE A100
Bountiful, UT 84010

Phone: (801) 683-1062

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1023784295 is the National Provider Identifier for EMMALINE PARK, a Behavior Technician provider located in Bountiful, UT. This NPI was enumerated on August 18, 2021.
EMMALINE PARK practices at 415 MEDICAL DR STE A100, Bountiful, UT 84010.

Quick Facts

NPI
1023784295
Type
Individual
Enumerated
Aug 18, 2021
Last Updated
Jul 3, 2025

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