Provider Demographics
NPI:1043750904
Name:CHINARIAN, EMILY ANN (MED, BCBA)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:ANN
Last Name:CHINARIAN
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39555 ORCHARD HILL PL STE 600
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5381
Mailing Address - Country:US
Mailing Address - Phone:248-599-1582
Mailing Address - Fax:855-568-2494
Practice Address - Street 1:7375 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202
Practice Address - Country:US
Practice Address - Phone:248-599-1582
Practice Address - Fax:855-568-2494
Is Sole Proprietor?:No
Enumeration Date:2017-02-26
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X, 247200000X
MI103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other