Individual
EMILY SUZANNE BOEHMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, COBA
Contact information
Practice address
703 STATE ROUTE 28, MILFORD, OH 45150-5021
(513) 831-2578
(765) 454-9759
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 454-9759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-22155
OH
103K00000X
Behavior Analyst
Primary
COBA.326
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-22155
BCBA CERTIFICATE
—
Enumeration date
11/09/2016
Last updated
04/24/2018
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