Healthcare Provider Details

I. General information

NPI: 1184025850
Provider Name (Legal Business Name): ERIN HERBE M.S, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN HERBE M.S, BCBA

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N PACIFIC COAST HWY STE 1400
EL SEGUNDO CA
90245-5602
US

IV. Provider business mailing address

100 N PACIFIC COAST HWY STE 1400
EL SEGUNDO CA
90245-5602
US

V. Phone/Fax

Practice location:
  • Phone: 424-397-7194
  • Fax: 855-568-2494
Mailing address:
  • Phone: 424-397-7194
  • Fax: 855-568-2494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number11415297
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: