NPI 1366957011

Emily Jane Tisdale, BCBA

Practitioner Behavior Analyst Daphne, AL

Practice location

Address: 1203 US Highway 98 STE 2a9, Daphne, AL 36526
Phone: (314) 920-1828
Fax: (251) 243-0984
Mailing address: 1203 US Highway 98 STE 2a9, Daphne, AL 36526-3901

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-18-33094 (AL)

Other Behavior Analyst providers in Alabama →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 0-14-6203 (AL)

Registry record

NPI: 1366957011
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Dec 2017
Record last updated: 19 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.