Provider Demographics
NPI:1629511498
Name:ORTON, EMMA LUCY BAY (BCBA)
Entity Type:Individual
Prefix:
First Name:EMMA LUCY
Middle Name:BAY
Last Name:ORTON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:EMMA LUCY
Other - Middle Name:BAY
Other - Last Name:PIMENTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3751 N PRAIRIE GRASS DR
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-6666
Mailing Address - Country:US
Mailing Address - Phone:385-230-3812
Mailing Address - Fax:
Practice Address - Street 1:24 W SERGEANT COURT DR STE 204
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045-5809
Practice Address - Country:US
Practice Address - Phone:801-987-6333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-29
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10915697-2506103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst