Healthcare Provider Details

I. General information

NPI: 1932032703
Provider Name (Legal Business Name): EMILY M. MIHM RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 E MILLER ST
WINTER GARDEN FL
34787-3570
US

IV. Provider business mailing address

7327 GREAT EGRET BLVD
SARASOTA FL
34241-2718
US

V. Phone/Fax

Practice location:
  • Phone: 407-683-1072
  • Fax: 407-269-5888
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-533126
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: