Provider Demographics
NPI:1487297222
Name:WAINWRIGHT, EMILY (BCBA, LBA)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:
Last Name:WAINWRIGHT
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 BEAR HILL RD APT 605
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-6023
Mailing Address - Country:US
Mailing Address - Phone:401-808-0342
Mailing Address - Fax:
Practice Address - Street 1:1130 TEN ROD RD STE B101
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4165
Practice Address - Country:US
Practice Address - Phone:401-294-3990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILBA00196103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst