Individual
EMILY SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8 ROMAN KNOLL CT APT F, COCKEYSVILLE, MD 21030-4032
(516) 492-0915
Mailing address
8 ROMAN KNOLL CT APT F, COCKEYSVILLE, MD 21030-4032
(516) 492-0915
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16527
MD
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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