Healthcare Provider Details

I. General information

NPI: 1609354745
Provider Name (Legal Business Name): ERIKA ELLEN STALZER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2018
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 S CICERO AVE STE C
OAK LAWN IL
60453-4672
US

IV. Provider business mailing address

16150 PAMELA CT
OAK FOREST IL
60452-3731
US

V. Phone/Fax

Practice location:
  • Phone: 815-469-1500
  • Fax:
Mailing address:
  • Phone: 630-903-7115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number152000899
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number18-61924
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: