Healthcare Provider Details

I. General information

NPI: 1356874663
Provider Name (Legal Business Name): ERIN LASTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3785 BAKER LN STE 201
RENO NV
89509-5454
US

IV. Provider business mailing address

3785 BAKER LN STE 201
RENO NV
89509-5454
US

V. Phone/Fax

Practice location:
  • Phone: 775-813-5123
  • Fax:
Mailing address:
  • Phone: 775-813-5123
  • Fax: 844-402-8510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: