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Individual

EMILY VIDEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1363 DOUGLAS DR STE 104, TRAVERSE CITY, MI 49696-8980
(231) 944-4115
Mailing address
1500 S DOUGLAS RD, CORAL GABLES, FL 33134-4108
(231) 944-4115

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/10/2016
Last updated
06/17/2021
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