Emmylou Santos, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-04-1574 Issued in CA

Practice address

111 E 5600 S Ste 110
Murray, UT 84107-8153

Phone

(866) 375-2437

NPI assigned

Feb 10, 2014

Last updated

Feb 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A.G.E.S. Learning Solutions, LLC

  • Behavior Analyst
  • San Jose, CA
  • NPI 1184919227
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1720402852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 W HEDDING ST STE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281428",
            "telephone_number": "866-375-2437",
            "fax_number": "866-375-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 5600 S STE 110",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078153",
            "telephone_number": "866-375-2437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2007 W Hedding St Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281428",
            "country_code": "US",
            "telephone_number": "866-375-2437",
            "fax_number": "866-375-2437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "EMMYLOU",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-04-1574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Benito Sandoval
• Angela Verde Sandstrom, RPH
• Heather Jane Sandstrom, RPH, CDE
• Melissa N Sanford, RN, C-EFM
• Katherine Sangroniz
• Sonia Sarfraz, MD
• Marissa Sarhadi
• Joseph Lawrence Sartori, PA-C
• Jonathan Saul, CMHC
• Feanuga Koleti Savea

• Behavior Analyst in Murray, UT
• Providers in Murray, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.