Individual
RACHAEL MARIE EMMENDORFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
6625 DALY RD, WEST BLOOMFIELD, MI 48322-3410
(248) 737-3430
(248) 737-3433
Mailing address
320 N WEBIK AVE, CLAWSON, MI 48017-1369
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000560
MI
103K00000X
Behavior Analyst
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—
Other
Enumeration date
01/22/2013
Last updated
10/11/2022
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