Individual
EMILY CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 N 30TH ST, PADUCAH, KY 42001-4047
(270) 444-7898
(270) 933-1786
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
(615) 247-5487
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76666
KY
106E00000X
Assistant Behavior Analyst
0-24-15285
KY
106S00000X
Behavior Technician
RBT-19-77799
KY
Other
Enumeration date
03/21/2019
Last updated
12/09/2024
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