Provider Demographics
NPI:1548046790
Name:BIBLE, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:BIBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 WISCONSIN AVE STE 141
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WI
Mailing Address - Zip Code:53024-1995
Mailing Address - Country:US
Mailing Address - Phone:414-847-5722
Mailing Address - Fax:414-433-5722
Practice Address - Street 1:1525 WISCONSIN AVE STE 141
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WI
Practice Address - Zip Code:53024-1995
Practice Address - Country:US
Practice Address - Phone:414-847-5722
Practice Address - Fax:414-433-5722
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician