Provider Demographics
NPI:1861938847
Name:WEIHS, EMILY MARTIN (BCBA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MARTIN
Last Name:WEIHS
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 1:1820 CASSANDRA DR UNIT 114
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6953
Mailing Address - Country:US
Mailing Address - Phone:603-440-9464
Mailing Address - Fax:
Practice Address - Street 1:1820 CASSANDRA DR UNIT 114
Practice Address - Street 2:
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-6953
Practice Address - Country:US
Practice Address - Phone:603-440-9464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-13
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1-19-38218103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst