EMMA LUCILLE QUEEN

PROVIDENCE, UT
NPI1669052825
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-04-12
Last Update Date2021-04-12
Business Address
EMMA LUCILLE QUEEN RBT
545 W 465 N STE 100
PROVIDENCE, UT 84332-8004
Phone number: 435-753-6606
Mailing Address
EMMA LUCILLE QUEEN RBT
1443 WEST 800 NORTH #103
OREM, UT 84057
Phone number: 801-655-4950