Provider Demographics
NPI:1396226056
Name:NORDLUND, EMILY K (RBT)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:K
Last Name:NORDLUND
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
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Mailing Address - Street 1:3042 GARDENIA LN SW APT 12-203
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-6070
Mailing Address - Country:US
Mailing Address - Phone:231-233-0554
Mailing Address - Fax:
Practice Address - Street 1:3443 LILLY RD NE STE B
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-3091
Practice Address - Country:US
Practice Address - Phone:360-456-2237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst