Provider Demographics
NPI:1194695718
Name:BADONI, EMILY ALISSA (SLP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ALISSA
Last Name:BADONI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:388 E SNOWY EGRET DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:UT
Mailing Address - Zip Code:84653-5764
Mailing Address - Country:US
Mailing Address - Phone:801-318-1136
Mailing Address - Fax:
Practice Address - Street 1:388 E SNOWY EGRET DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:UT
Practice Address - Zip Code:84653-5764
Practice Address - Country:US
Practice Address - Phone:801-318-1136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-08
Last Update Date:2025-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14238450-4104235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist