MEDICARE: EMMA L SEAMANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-25-78814	MN

General Provider Information

NPI Number	:	1255938049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA L SEAMANS

Provider Business Mailing Address
First Line	:	5 FOREST AVE
Second Line	:
City	:	RIVERSIDE
State	:	RI
Zip	:	02915-1733
Country	:	US
Telephone Number	:	401-996-1613
Fax Number	:

Provider Business Practice Location Address
First Line	:	7825 WASHINGTON AVE S STE 615
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55439-2440
Country	:	US
Telephone Number	:	401-996-1613
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2020
Last Update Date	:	02/23/2026

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Directions to “ EMMA L SEAMANS ” Practice Location

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