Healthcare Provider Details

I. General information

NPI: 1487575999
Provider Name (Legal Business Name): ERICA LYNN HARDIN CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 MANLEY RD
MAUMEE OH
43537-9400
US

IV. Provider business mailing address

1804 GLENWOOD ST
FINDLAY OH
45840-4528
US

V. Phone/Fax

Practice location:
  • Phone: 833-641-0632
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number196604
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: