Active NPI
Emily Michelle Mullins
- Behavior Analyst
- Dothan, AL
National Provider Identifier
1710706759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 24-362361
- Practice address
- 1936 Ross Clark Circle
Dothan, AL 36301 - Phone
- (334) 709-4024
- NPI assigned
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 24-362361 | Primary |
Addresses
Primary practice location
1936 Ross Clark Circle
Dothan, AL 36301
Mailing address
4883 County Road 36
Hartford, AL 36344
Phone (334) 449-2476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1710706759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4883 COUNTY ROAD 36",
"city": "HARTFORD",
"state": "AL",
"postal_code": "36344",
"telephone_number": "334-449-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 ROSS CLARK CIRCLE",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36301",
"telephone_number": "334-709-4024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "EMILY",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "24-362361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.