Provider Demographics
NPI:1508016791
Name:EMG CONSULTING LLC
Entity Type:Organization
Organization Name:EMG CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GILMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED, BCBA
Authorized Official - Phone:757-615-3003
Mailing Address - Street 1:700 DWYER RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-6921
Mailing Address - Country:US
Mailing Address - Phone:757-615-3003
Mailing Address - Fax:800-858-1143
Practice Address - Street 1:700 DWYER RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-6921
Practice Address - Country:US
Practice Address - Phone:757-615-3003
Practice Address - Fax:800-858-1143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty