Individual
EMILY WIESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1851 NW CIVIC DR, GRESHAM, OR 97030-5566
(971) 292-1050
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
04/06/2026
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