Provider Demographics
NPI:1437876158
Name:EMERALD LEARNING, PLLC
Entity Type:Organization
Organization Name:EMERALD LEARNING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SYCZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:BCBA
Authorized Official - Phone:562-619-4818
Mailing Address - Street 1:2905 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-6803
Mailing Address - Country:US
Mailing Address - Phone:562-619-4818
Mailing Address - Fax:
Practice Address - Street 1:2905 N 10TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-6803
Practice Address - Country:US
Practice Address - Phone:562-619-4818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health