Healthcare Provider Details

I. General information

NPI: 1083560494
Provider Name (Legal Business Name): ERICA HAUSCH BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 E MIDLAND AVE
PARAMUS NJ
07652-2920
US

IV. Provider business mailing address

85 BERGEN AVE
WALDWICK NJ
07463-2110
US

V. Phone/Fax

Practice location:
  • Phone: 201-297-9167
  • Fax:
Mailing address:
  • Phone: 732-689-5421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-49472
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: