Healthcare Provider Details

I. General information

NPI: 1013710771
Provider Name (Legal Business Name): ERICA HOVLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 BELVIDERE ST STE 123
EL PASO TX
79912-2433
US

IV. Provider business mailing address

921 TECATE PL
EL PASO TX
79912-7329
US

V. Phone/Fax

Practice location:
  • Phone: 915-995-2412
  • Fax:
Mailing address:
  • Phone: 720-314-0392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: