=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104740448
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMMA RASBAND
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2026
-----------------------------------------------------
Last Update Date | 08/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1055 N 1750 W
-----------------------------------------------------
City | SPRINGVILLE
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84663-4989
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-335-9382
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10731 N CYPRESS
-----------------------------------------------------
City | CEDAR HILLS
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84062-8522
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-335-9382
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number | RBT-25-463109
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------