Provider Demographics
NPI:1518685239
Name:PASSENIER, EMALEE NICOLE (RBT)
Entity Type:Individual
Prefix:
First Name:EMALEE
Middle Name:NICOLE
Last Name:PASSENIER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:EMALEE
Other - Middle Name:NICOLE
Other - Last Name:CLINGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:PO BOX 412031
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-2031
Mailing Address - Country:US
Mailing Address - Phone:888-830-4125
Mailing Address - Fax:
Practice Address - Street 1:1910 E APPLE AVE STE F
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-4281
Practice Address - Country:US
Practice Address - Phone:231-354-2588
Practice Address - Fax:616-935-7607
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician