Provider Demographics
NPI:1063920064
Name:CALABRESE, EMILY (BCBA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:CALABRESE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5256 JANET DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-1507
Mailing Address - Country:US
Mailing Address - Phone:757-778-2307
Mailing Address - Fax:
Practice Address - Street 1:5256 JANET DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-1507
Practice Address - Country:US
Practice Address - Phone:757-778-2307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA11940209103K00000X
VARBT-15-07155106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician