Provider Demographics
NPI:1740029701
Name:EMERICK, LAINA RILEY
Entity type:Individual
Prefix:
First Name:LAINA
Middle Name:RILEY
Last Name:EMERICK
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 1:4060 N WEIMER PL UNIT 21
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-7208
Mailing Address - Country:US
Mailing Address - Phone:425-892-4043
Mailing Address - Fax:
Practice Address - Street 1:4060 N WEIMER PL UNIT 21
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-7208
Practice Address - Country:US
Practice Address - Phone:425-892-4043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician