Provider Demographics
NPI:1467943969
Name:SAPP, EMILY RAYE (MA,LPA, HSP-PA, BCBA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:RAYE
Last Name:SAPP
Suffix:
Gender:
Credentials:MA,LPA, HSP-PA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 TWINWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-6726
Mailing Address - Country:US
Mailing Address - Phone:716-307-8684
Mailing Address - Fax:
Practice Address - Street 1:110 TWINWOOD RD
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-6726
Practice Address - Country:US
Practice Address - Phone:716-307-8684
Practice Address - Fax:716-307-8684
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103K00000X
103T00000X
NC5484103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst