Emily Suzanne Boehmler, M.ED., BCBA, COBA
Individual provider Active NPI Behavior Analyst · Milford, OH
NPI 1326580291 · NPPES record last updated Apr 24, 2018
Key facts
- NPI
- 1326580291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- COBA.326 (OH)
- Practice address
- 703 State Route 28
Milford, OH 45150-5021 - Phone
- (513) 831-2578
- Fax
- (765) 454-9759
- NPI assigned
- Nov 9, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COBA.326 | OH | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-22155 | OH | |
| Behavior Analyst | 103K00000X | COBA.326 | OH | Yes |
Addresses
Primary practice location
703 State Route 28
Milford, OH 45150-5021
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-16-22155 | Other | BCBA CERTIFICATE |
Other providers in Milford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.