Individual
EMILY WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1620 FM 544 UNIT 100, LEWISVILLE, TX 75056-7083
(505) 456-6474
Mailing address
6914 BRISBANE CT STE 200, SUGAR LAND, TX 77479-4924
(505) 456-6474
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
RBT-18-69263
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-69263
BACB
—
Enumeration date
02/15/2019
Last updated
08/03/2023
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