Healthcare Provider Details

I. General information

NPI: 1518467042
Provider Name (Legal Business Name): ROBERT JOSEPH EMERT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RIVER EMERT BCBA, LBA

II. Dates (important events)

Enumeration Date: 02/21/2018
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2938 HANSEN RD
WEST BRANCH MI
48661-9317
US

IV. Provider business mailing address

2805 S INDUSTRIAL HWY STE 100
ANN ARBOR MI
48104-6791
US

V. Phone/Fax

Practice location:
  • Phone: 989-278-8878
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: