Provider Demographics
NPI:1841782703
Name:PRINCE, EMILY GENEVIEVE (MA, LBA, BCBA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:GENEVIEVE
Last Name:PRINCE
Suffix:
Gender:F
Credentials:MA, LBA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8019 NE 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-9604
Mailing Address - Country:US
Mailing Address - Phone:541-974-5778
Mailing Address - Fax:
Practice Address - Street 1:500 N WENATCHEE AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-6655
Practice Address - Country:US
Practice Address - Phone:360-713-7448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst