Healthcare Provider Details

I. General information

NPI: 1023927290
Provider Name (Legal Business Name): EMILY C RANCE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 BROADHOLLOW RD
MELVILLE NY
11747-3713
US

IV. Provider business mailing address

28 SHELDON PL
COMMACK NY
11725-3237
US

V. Phone/Fax

Practice location:
  • Phone: 631-291-3058
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: