Individual
EMMANUELLA J ISME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 ILLINOIS AVE, KILLEEN, TX 76543-5371
(234) 402-4800
Mailing address
4003 W STAN SCHLUETER LOOP STE 201, KILLEEN, TX 76549-6119
(254) 630-1578
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
8479
TX
Other
Enumeration date
08/20/2021
Last updated
05/15/2025
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