Individual
EMILY MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 DEEP RIVER RD, STANDISH, MI 48658-9458
(989) 718-3746
Mailing address
714 E SMITH ST, BAY CITY, MI 48706-3964
(989) 780-7566
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M600229209037
—
MI
Enumeration date
09/16/2020
Last updated
09/16/2020
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