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Individual

JAMIE L EMERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
69 BURNHAM ST, OLD TOWN, ME 04468-1940
(207) 505-5246
Mailing address
69 BURNHAM ST, OLD TOWN, ME 04468-1940
(207) 505-5246

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28674
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82-4098229
ME
Enumeration date
07/26/2018
Last updated
07/26/2018
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