Individual
EMILY JEAN EDGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
235 GEORGIA AVE STE 110, PROVIDENCE, RI 02905-4516
(904) 872-4797
Mailing address
167 BRADFORD ST APT 2, BRISTOL, RI 02809-2324
(904) 872-4797
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4169-MH-B1
MA
Other
Enumeration date
04/16/2018
Last updated
01/29/2025
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