Provider Demographics
NPI:1104532191
Name:BEST, EMMA ELIZABETH
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:ELIZABETH
Last Name:BEST
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 E OAK ST
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33801-5094
Mailing Address - Country:US
Mailing Address - Phone:863-370-1619
Mailing Address - Fax:
Practice Address - Street 1:525 E OAK ST UNIT 303
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-5168
Practice Address - Country:US
Practice Address - Phone:863-370-1619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
FL0-25-15987106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician