Individual
EMMERSON PHILIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
126 PAVILION PKWY, FAYETTEVILLE, GA 30214-4056
(770) 954-8988
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-24-74743
FL
103K00000X
Behavior Analyst
Primary
1-24-74743
GA
103K00000X
Behavior Analyst
LBA000107
GA
106S00000X
Behavior Technician
RBT-23-252193
FL
Other
Enumeration date
01/20/2023
Last updated
02/05/2026
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