Provider Demographics
NPI:1548769375
Name:SIY, EMMA C (LBA, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:C
Last Name:SIY
Suffix:
Gender:F
Credentials:LBA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7995 BLUE DIAMOND RD STE 102
Mailing Address - Street 2:#304
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-9408
Mailing Address - Country:US
Mailing Address - Phone:702-848-6070
Mailing Address - Fax:702-723-2118
Practice Address - Street 1:7995 BLUE DIAMOND RD STE 102
Practice Address - Street 2:#304
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-9408
Practice Address - Country:US
Practice Address - Phone:702-848-6070
Practice Address - Fax:702-723-2118
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1-19-36168103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1-19-36168OtherBEHAVIOR ANALYST CERTIFICATION BOARD
NV1-19-36168OtherBEHAVIOR ANALYST CERTIFICATION BOARD