Provider Demographics
NPI:1952617854
Name:KORANDO, EMILY I (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:I
Last Name:KORANDO
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2378 WOODLAKE DR
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-6013
Mailing Address - Country:US
Mailing Address - Phone:517-706-0421
Mailing Address - Fax:517-706-0423
Practice Address - Street 1:2378 WOODLAKE DR
Practice Address - Street 2:SUITE 280
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-6013
Practice Address - Country:US
Practice Address - Phone:517-706-0421
Practice Address - Fax:517-706-0423
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1-11-8291103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst