Healthcare Provider Details

I. General information

NPI: 1386355204
Provider Name (Legal Business Name): ERICA VANHOOK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2022
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 W 13 MILE RD
ROYAL OAK MI
48073-6515
US

IV. Provider business mailing address

4410 W 13 MILE RD
ROYAL OAK MI
48073-6515
US

V. Phone/Fax

Practice location:
  • Phone: 248-217-8066
  • Fax:
Mailing address:
  • Phone: 248-217-8066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1386355204
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: