Provider Demographics
NPI:1639860919
Name:ALBRIGHT, EMELYN LEAH (BCBA)
Entity Type:Individual
Prefix:
First Name:EMELYN
Middle Name:LEAH
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1091 STONERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-7042
Mailing Address - Country:US
Mailing Address - Phone:406-624-6599
Mailing Address - Fax:888-336-0944
Practice Address - Street 1:1 INVERNESS DR E
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5519
Practice Address - Country:US
Practice Address - Phone:303-578-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRBT-20-128351106S00000X
CO1-24-72341103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician