Healthcare Provider Details

I. General information

NPI: 1912213612
Provider Name (Legal Business Name): EMILY J HOYT BCBA, PCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2010
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19308 SE 32ND DR
CAMAS WA
98607-9445
US

IV. Provider business mailing address

19308 SE 32ND DR
CAMAS WA
98607-9445
US

V. Phone/Fax

Practice location:
  • Phone: 360-281-8627
  • Fax:
Mailing address:
  • Phone: 360-281-8627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberR11106
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: