Healthcare Provider Details

I. General information

NPI: 1740601848
Provider Name (Legal Business Name): ERIKA RICHTER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2013
Last Update Date: 04/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 E TEXAS ST
BOSSIER CITY LA
71111-3213
US

IV. Provider business mailing address

3333 E TEXAS ST
BOSSIER CITY LA
71111-3213
US

V. Phone/Fax

Practice location:
  • Phone: 318-635-9004
  • Fax: 318-584-7338
Mailing address:
  • Phone: 318-635-9004
  • Fax: 318-584-7338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberL-146
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: