Individual
EMILY BOBOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LBA, BCBA
Contact information
Practice address
11835 FISHING POINT DR STE 202, NEWPORT NEWS, VA 23606-2585
(757) 243-1033
Mailing address
42014 VILLANOVA DR, STERLING HEIGHTS, MI 48313-2970
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001318
MI
Other
Enumeration date
11/19/2020
Last updated
07/24/2023
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