Healthcare Provider Details

I. General information

NPI: 1255905477
Provider Name (Legal Business Name): ERICA DEBORAH LOZY PHD, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2021
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

466 PUTNAM PIKE UNIT 7
GREENVILLE RI
02828-3002
US

IV. Provider business mailing address

466 PUTNAM PIKE UNIT 7
GREENVILLE RI
02828-3002
US

V. Phone/Fax

Practice location:
  • Phone: 401-382-3254
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12563
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS02340
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPPY342
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-17-27476
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: