NPI Code Details Logo

NPI 1407641301

NPI 1407641301 : EMERGE, LLC : CHASSELL, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407641301
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EMERGE, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/11/2025
-----------------------------------------------------
    Last Update Date     |    04/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    44183 US HIGHWAY 41 
-----------------------------------------------------
    City                 |    CHASSELL
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49916-9104
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    906-458-1586
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    44183 US HIGHWAY 41 
-----------------------------------------------------
    City                 |    CHASSELL
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49916-9104
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    906-458-1586
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    MR. ROCCO  NOCERA 
-----------------------------------------------------
    Credential           |    MA, BCBA, LBA
-----------------------------------------------------
    Telephone            |    906-458-1586
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106E00000X
-----------------------------------------------------
    Taxonomy Name        |    Assistant Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    106S00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Technician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2355S0801X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.