Provider Demographics
NPI:1740823384
Name:EHRLICH, EMILY (RBT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:EHRLICH
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 INVERNESS DR S
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6012
Mailing Address - Country:US
Mailing Address - Phone:720-507-5226
Mailing Address - Fax:
Practice Address - Street 1:325 INVERNESS DR S
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-6012
Practice Address - Country:US
Practice Address - Phone:720-507-5226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-27
Last Update Date:2019-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORBT-19-77313106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician