Female

Emily J. Tisdale BCBA

Behavioral Analyst in Daphne, AL(View on Map)

Full Name

Emily Jane Tisdale BCBA

NPI Number

1366957011

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/04/2017

Specialties

(Taxonomies)

Code

103K00000X

Primary Taxonomy

Yes

Licenses

State

Alabama
Alabama

License Number

1-18-33094
0-14-6203

Contact
Information

Purpose

Mailing
Location

Address

1203 US HIGHWAY 98 STE 2A9
1203 US HIGHWAY 98 STE 2A9

City

Daphne
Daphne

State

AL
AL

Postal Code

36526-3901
36526

Country

US
US

Telephone Number

(314) 920-1828
(314) 920-1828

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

Neocertified

Endpoint Description

Neocertified

Use

Health Information Exchange (HIE)

Content Type

Unknown

Affiliation

N

Endpoint Location

1203 US Highway 98 Ste 2A9Daphne, AL365263901US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/19/2019

Provider Address

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