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NPI Code Detail

MEDICARE: EMILY PALMER M.A., ED.S.

MEDICARE:   EMILY  PALMER  M.A., ED.S.
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
1106S00000XBehavior TechnicianRBT-23-265819CA

General Provider Information

NPI Number : 1376248856
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY PALMER M.A., ED.S.
Provider Business Mailing Address
First Line : 7629 GIRARD AVE APT 303
Second Line :
City : LA JOLLA
State : CA
Zip : 92037-4402
Country : US
Telephone Number : 810-449-7683
Fax Number :
Provider Business Practice Location Address
First Line : 3434 MIDWAY DR STE 2006
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-4925
Country : US
Telephone Number : 619-255-1497
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 04/03/2023

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Directions to “ EMILY PALMER M.A., ED.S.” Practice Location

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