Individual
JENNIFER EMNOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA BCBA
Contact information
Practice address
3120 MEMORIAL DR, TWO RIVERS, WI 54241-3229
(920) 657-1465
Mailing address
1002 S FISK ST STE 290, GREEN BAY, WI 54304-2265
(920) 498-0117
(888) 493-0447
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18671
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100050001
—
WI
Enumeration date
07/07/2015
Last updated
05/28/2025
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