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NPI Code Detail

MEDICARE: ERIKA NIXON M.A., BCBA

MEDICARE:   ERIKA  NIXON  M.A., BCBA
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
1103K00000XBehavior Analyst1-12-10288OH

General Provider Information

NPI Number : 1982933602
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA NIXON M.A., BCBA
Provider Business Mailing Address
First Line : 3428 W MARKET ST
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-3339
Country : US
Telephone Number : 330-668-4041
Fax Number :
Provider Business Practice Location Address
First Line : 3428 W MARKET ST
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-3339
Country : US
Telephone Number : 330-668-4041
Fax Number : 330-666-5626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2009
Last Update Date : 04/20/2018

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