Provider Demographics
NPI:1780474585
Name:BEER, EMMA FAYE
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:FAYE
Last Name:BEER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 W IOLA ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-2564
Mailing Address - Country:US
Mailing Address - Phone:828-351-4466
Mailing Address - Fax:646-859-4440
Practice Address - Street 1:504 W IOLA ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-2564
Practice Address - Country:US
Practice Address - Phone:828-351-4466
Practice Address - Fax:646-859-4440
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician