Provider Demographics
NPI:1780198366
Name:BRAMMER, EMILY KATE (BCBA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:KATE
Last Name:BRAMMER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:KATE
Other - Last Name:BLISARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1201 LESTER DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-5017
Mailing Address - Country:US
Mailing Address - Phone:505-261-1214
Mailing Address - Fax:
Practice Address - Street 1:1201 LESTER DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-5017
Practice Address - Country:US
Practice Address - Phone:505-261-1214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-19
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist