Healthcare Provider Details

I. General information

NPI: 1952233090
Provider Name (Legal Business Name): EMMA TAYLOR LEAMY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2603 W RAWSON AVE STE 132
OAK CREEK WI
53154-8422
US

IV. Provider business mailing address

200 MEADOWLARK DR APT 10
BURLINGTON WI
53105-1766
US

V. Phone/Fax

Practice location:
  • Phone: 888-754-0398
  • Fax:
Mailing address:
  • Phone: 715-651-1609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-511837
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: