Healthcare Provider Details

I. General information

NPI: 1962337675
Provider Name (Legal Business Name): ERICA LORRAINE ATCHRIMI
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5609 PAYNES ENDEAVOR DR
BOWIE MD
20720-3380
US

IV. Provider business mailing address

5609 PAYNES ENDEAVOR DR
BOWIE MD
20720-3380
US

V. Phone/Fax

Practice location:
  • Phone: 240-444-9169
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: