MEDICARE: EMMA NANCY SCRIBNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1679147870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA NANCY SCRIBNER

Provider Business Mailing Address
First Line	:	742 W CLARKSTON RD
Second Line	:
City	:	LAKE ORION
State	:	MI
Zip	:	48362-2685
Country	:	US
Telephone Number	:	248-760-1043
Fax Number	:

Provider Business Practice Location Address
First Line	:	3285 MARTIN RD STE 104
Second Line	:
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48390-1601
Country	:	US
Telephone Number	:	248-289-3008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2021
Last Update Date	:	12/03/2025

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Directions to “ EMMA NANCY SCRIBNER ” Practice Location

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