Provider Demographics
NPI:1972188936
Name:EMC BEHAVIORAL THERAPY & CONSULTING, LLC
Entity Type:Organization
Organization Name:EMC BEHAVIORAL THERAPY & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIORAL ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:CALABRESE
Authorized Official - Suffix:
Authorized Official - Credentials:MSED/ BCBA
Authorized Official - Phone:757-778-2307
Mailing Address - Street 1:5256 JANET DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-1507
Mailing Address - Country:US
Mailing Address - Phone:757-778-2307
Mailing Address - Fax:
Practice Address - Street 1:5256 JANET DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-1507
Practice Address - Country:US
Practice Address - Phone:757-778-2307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty