MEDICARE: EMILY ANN HAAR

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1720594583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ANN HAAR

Provider Business Mailing Address
First Line	:	6483 HOLLY HILL LN
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-6448
Country	:	US
Telephone Number	:	513-335-7835
Fax Number	:

Provider Business Practice Location Address
First Line	:	6483 HOLLY HILL LN
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-6448
Country	:	US
Telephone Number	:	513-335-7835
Fax Number	:

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

Provider Enumeration Date	:	12/15/2017
Last Update Date	:	12/15/2017

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Directions to “ EMILY ANN HAAR ” Practice Location

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