Individual
EMILY BRISTLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10450 185TH ST W STE 100, LAKEVILLE, MN 55044-6696
(612) 509-1283
Mailing address
301 MCANDREWS RD W APT 120, BURNSVILLE, MN 55337-8302
(651) 361-0365
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-18-71358
—
Other
Enumeration date
11/26/2018
Last updated
08/10/2021
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