Healthcare Provider Details

I. General information

NPI: 1598207458
Provider Name (Legal Business Name): ERIKA CUTLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2016
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7108 SOUTH KANNER HWY
STUART FL
34997-7462
US

IV. Provider business mailing address

780 HELICON TER
SEBASTIAN FL
32958-5953
US

V. Phone/Fax

Practice location:
  • Phone: 772-349-6317
  • Fax: 772-675-9100
Mailing address:
  • Phone: 772-217-0683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-65828
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: