Provider Demographics
NPI:1235421082
Name:MCHANEY, EMILIE (BCABA)
Entity Type:Individual
Prefix:MRS
First Name:EMILIE
Middle Name:
Last Name:MCHANEY
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:MISS
Other - First Name:EMILIE
Other - Middle Name:
Other - Last Name:ZIEGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 COUNTY ROAD 423A
Mailing Address - Street 2:
Mailing Address - City:LORENA
Mailing Address - State:TX
Mailing Address - Zip Code:76655-4351
Mailing Address - Country:US
Mailing Address - Phone:469-222-2442
Mailing Address - Fax:
Practice Address - Street 1:111 COUNTY ROAD 423A
Practice Address - Street 2:
Practice Address - City:LORENA
Practice Address - State:TX
Practice Address - Zip Code:76655-4351
Practice Address - Country:US
Practice Address - Phone:469-222-2442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst