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NPI Code Detail

MEDICARE: MRS. ERIKA MASHBURN RBT

MEDICARE: MRS. ERIKA MASHBURN RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1356237549
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERIKA MASHBURN RBT
Provider Business Mailing Address
First Line : 484 PIERCE ST
Second Line :
City : EVERGREEN
State : AL
Zip : 36401-2653
Country : US
Telephone Number : 251-227-3808
Fax Number :
Provider Business Practice Location Address
First Line : 521 GREENVILLE BYP
Second Line :
City : GREENVILLE
State : AL
Zip : 36037-3732
Country : US
Telephone Number : 334-477-4686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2025
Last Update Date : 06/16/2025

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