Individual
EMILY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
15851 DALLAS PKWY STE 1150, ADDISON, TX 75001-3325
(855) 782-7822
Mailing address
15851 DALLAS PKWY STE 1150, ADDISON, TX 75001-3325
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37163
—
103K00000X
Behavior Analyst
—
—
247200000X
Other Technician
RBT-18-54665
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-37163
BACB
—
01
—
RBT-18-54665
BACB
TX
Enumeration date
08/30/2018
Last updated
09/03/2024
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