Individual
EMILY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10751 S SAGINAW ST STE E, GRAND BLANC, MI 48439-8169
(907) 378-4096
Mailing address
10751 S SAGINAW ST STE E, GRAND BLANC, MI 48439-8169
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
156F00000X
Technician/Technologist
—
—
Other
Enumeration date
04/03/2018
Last updated
04/05/2024
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