Provider Demographics
NPI:1942962352
Name:VENUTI, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:VENUTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 SAFFRON SPGS
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-5177
Mailing Address - Country:US
Mailing Address - Phone:979-820-2425
Mailing Address - Fax:
Practice Address - Street 1:5700 S MOPAC EXPY # C310
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1461
Practice Address - Country:US
Practice Address - Phone:512-458-0260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst