Individual
EMILY MARIE PETRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1849 N KOLB RD, TUCSON, AZ 85715-4929
(512) 920-1030
Mailing address
1601 S MOPAC EXPY STE C300, AUSTIN, TX 78746-7077
(512) 920-1030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-23-68752
OK
103K00000X
Behavior Analyst
Primary
BEH-001411
AZ
106S00000X
Behavior Technician
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Other
Enumeration date
02/11/2019
Last updated
11/05/2024
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