Individual
EMMA TALLEY TROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53453
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/12/2017
Last updated
10/20/2024
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