Healthcare Provider Details

I. General information

NPI: 1629505516
Provider Name (Legal Business Name): EMILY FLOWERS PHD, BCBA, COBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2017
Last Update Date: 02/23/2024
Certification Date: 02/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE, ML 6015
CINCINNATI OH
45229
US

IV. Provider business mailing address

3333 BURNET AVE, ML 6015
CINCINNATI OH
45229
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-0800
  • Fax: 513-636-0835
Mailing address:
  • Phone: 513-636-0800
  • Fax: 513-636-0835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberP.07755
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP.07755
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberP.07755
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: