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NPI Code Detail

MEDICARE: EMILY FLORES BCBA

MEDICARE: EMILY FLORES BCBA
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
1103K00000XBehavior Analyst1-20-46188TX
2103K00000XBehavior Analyst3820TX

General Provider Information

NPI Number : 1417543521
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY FLORES BCBA
Provider Business Mailing Address
First Line : 2417 PRESIDIO VISTA DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76177-8275
Country : US
Telephone Number : 682-316-9008
Fax Number :
Provider Business Practice Location Address
First Line : 2417 PRESIDIO VISTA DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76177-8275
Country : US
Telephone Number : 682-316-9008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2020
Last Update Date : 10/06/2025

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Directions to “ EMILY FLORES BCBA” Practice Location

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