Individual
EMMA STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 LEBANON TER UNIT 3, MALDEN, MA 02148-3124
(170) 499-5315
Mailing address
5 LEBANON TER UNIT 3, MALDEN, MA 02148-3124
(170) 499-5315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
938168079
UNITEDHEALTHCARE
NC
Enumeration date
06/16/2021
Last updated
06/16/2021
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