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Individual

EMILY JAYNE HUMPHREYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
4441 BRYANT IRVIN RD N, FORT WORTH, TX 76107-7338
(817) 944-4245
Mailing address
12009 DERRINGER TRL, FORT WORTH, TX 76108-1929

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1413
TX

Other

Enumeration date
10/29/2018
Last updated
03/25/2026
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