Individual
EMILEE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12938 COLDWATER RD, FORT WAYNE, IN 46845-9517
(260) 245-1455
Mailing address
4753 NORTHWEST DR, FORT WAYNE, IN 46835-1433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IN
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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