Provider Demographics
NPI:1285403238
Name:YURICK, EMILY ROSE (MS,BCABA)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ROSE
Last Name:YURICK
Suffix:
Gender:
Credentials:MS,BCABA
Other - Prefix:MRS
Other - First Name:EMI
Other - Middle Name:ROSE
Other - Last Name:YURICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CHANEY
Mailing Address - Street 1:1742 GEORGETOWN RD STE A&B
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-5006
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1742 GEORGETOWN RD STE A&B
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-5006
Practice Address - Country:US
Practice Address - Phone:234-716-3077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0-25-16072106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst