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NPI Code Detail

MEDICARE: EMMA GRACE MACCUISH MS, BCBA, LBA

MEDICARE: EMMA GRACE MACCUISH MS, BCBA, LBA
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 Analyst1-25-86816MO

General Provider Information

NPI Number : 1952185589
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA GRACE MACCUISH MS, BCBA, LBA
Provider Business Mailing Address
First Line : 2 E 59TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64113-2116
Country : US
Telephone Number : 816-866-5662
Fax Number : 816-817-0831
Provider Business Practice Location Address
First Line : 2 E 59TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64113-2116
Country : US
Telephone Number : 816-866-5662
Fax Number : 816-817-0831
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2023
Last Update Date : 03/11/2026

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