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NPI Code Detail

MEDICARE: EMMA NELSON BCBA, LBA

MEDICARE: EMMA NELSON BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst14292658-2506UT

General Provider Information

NPI Number : 1801484167
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA NELSON BCBA, LBA
Provider Business Mailing Address
First Line : 1970 W 7800 S
Second Line :
City : WEST JORDAN
State : UT
Zip : 84088-4025
Country : US
Telephone Number : 801-506-6695
Fax Number :
Provider Business Practice Location Address
First Line : 1970 W 7800 S
Second Line :
City : WEST JORDAN
State : UT
Zip : 84088-4025
Country : US
Telephone Number : 801-506-6695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2021
Last Update Date : 06/10/2026

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Directions to “ EMMA NELSON BCBA, LBA” Practice Location

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