Healthcare Provider Details
I. General information
NPI: 1215848890
Provider Name (Legal Business Name): ERIKA DANIELA EGAS ENCALADA M.ED., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7 BENSON ST
TINTON FALLS NJ
07724-9772
US
IV. Provider business mailing address
168 SYLVAN AVE
CLIFTON NJ
07011-3334
US
V. Phone/Fax
- Phone: 848-888-3204
- Fax:
- Phone: 551-556-5846
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: