Provider Demographics
NPI:1508607912
Name:SALAS, EMMA V (BCBA)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:V
Last Name:SALAS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:V
Other - Last Name:TOVAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11059 SAN JUAN ST APT A
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2748
Mailing Address - Country:US
Mailing Address - Phone:951-210-6713
Mailing Address - Fax:
Practice Address - Street 1:11059 SAN JUAN ST APT A
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-2748
Practice Address - Country:US
Practice Address - Phone:951-210-6713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-24-70868103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst