NPI 1013893460

Emily Rose Self, RBT

Practitioner Behavior Technician Idaho Falls, ID

Practice location

Address: 2222 Teton Plz STE 2, Idaho Falls, ID 83404-6485
Phone: (208) 522-4026

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Idaho →

Registry record

NPI: 1013893460
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2025
Record last updated: 12 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.