Individual
EMILY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1651 CROFTON BLVD, CROFTON, MD 21114-1314
(443) 302-2420
Mailing address
1651 CROFTON BLVD, CROFTON, MD 21114-1314
(443) 302-2420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-17-36493
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659897262
NPI
—
Enumeration date
08/15/2017
Last updated
06/03/2021
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