Individual
EMILY DURAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
9695 LEBANON RD STE 110, MT JULIET, TN 37122-5538
(615) 288-4942
Mailing address
1310 HERMITAGE PARK DR, HERMITAGE, TN 37076-3168
(309) 824-0927
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24314
TN
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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