Healthcare Provider Details

I. General information

NPI: 1346781341
Provider Name (Legal Business Name): ERICA HERRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2017
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

713 W COMMONWEALTH AVE STE C
FULLERTON CA
92832-1612
US

IV. Provider business mailing address

14743 DUNTON DR
WHITTIER CA
90604-1120
US

V. Phone/Fax

Practice location:
  • Phone: 714-879-4274
  • Fax: 714-879-2274
Mailing address:
  • Phone: 626-641-3267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBACB370273
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: