Whitaker, Emily Jo

Whitaker, Emily Jo is an individual health care provider with primary practice located at 205 Portland St , Columbia MO 65201-6521. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Whitaker, Emily Jo can be contacted via phone (573) 884-6082.

Contact Information

Primary practice address
205 Portland St Columbia MO 65201-6521
Phone: (573) 884-6082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-83406 Missouri

Profile Details

NPI number 1952953200
LBN Legal business name Whitaker, Emily Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2019
Last updated Jul 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952953200 NPPES
Missouri MEDICAID 900294051

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