Individual
MISS EMILY TAYLOR HARTSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS BCBA LBA
Contact information
Practice address
717 GARFIELD AVE NW, GRAND RAPIDS, MI 49504-4018
(269) 414-1790
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(269) 414-1790
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001799
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/26/2018
Last updated
09/08/2022
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