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NPI Code Detail

MEDICARE: EMILY MUISE

MEDICARE:   EMILY  MUISE
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 Analyst

General Provider Information

NPI Number : 1881005981
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MUISE
Provider Business Mailing Address
First Line : 576 N BIRDNECK RD
Second Line : #197
City : VIRGINIA BCH
State : VA
Zip : 23451-6374
Country : US
Telephone Number : 757-447-1336
Fax Number :
Provider Business Practice Location Address
First Line : 576 N BIRDNECK RD
Second Line : #197
City : VIRGINIA BCH
State : VA
Zip : 23451-6374
Country : US
Telephone Number : 757-447-1336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2014
Last Update Date : 08/25/2015

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Directions to “ EMILY MUISE ” Practice Location

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