Healthcare Provider Details

I. General information

NPI: 1285403238
Provider Name (Legal Business Name): EMILY ROSE YURICK MS,BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMI ROSE YURICK CHANEY

II. Dates (important events)

Enumeration Date: 01/01/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1742 GEORGETOWN RD STE A&B
HUDSON OH
44236-5006
US

IV. Provider business mailing address

6960 S EDGERTON RD
BRECKSVILLE OH
44141-3184
US

V. Phone/Fax

Practice location:
  • Phone: 234-716-3077
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-86361
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: