Provider Demographics
NPI:1760271464
Name:EMBER ABA, PLLC
Entity type:Organization
Organization Name:EMBER ABA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGREGOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-567-0713
Mailing Address - Street 1:4621A PRETTY LAKE AVE APT 307
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-2055
Mailing Address - Country:US
Mailing Address - Phone:252-567-0713
Mailing Address - Fax:
Practice Address - Street 1:911 FIRST COLONIAL RD # 201
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3111
Practice Address - Country:US
Practice Address - Phone:948-227-3833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty