Emily Rose Self, RBT

NPI #1013893460 in Idaho Falls, Idaho

Provider Information

NPI Number
1013893460
Entity Type
Individual
Name
Emily Rose Self, RBT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Credential
RBT
Enumeration Date
Aug 12, 2025
Last Updated
Aug 12, 2025

Practice Location

Address
2222 TETON PLZ STE 2
State
Idaho
ZIP Code
83404-6485
Phone
(208) 522-4026

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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