=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215879408
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIK FLORES BCBA
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/07/2026
-----------------------------------------------------
Last Update Date | 04/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2877 CHILDRESS DR
-----------------------------------------------------
City | ANDERSON
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 96007-3563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-262-2436
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 40 HILLTOP DR STE C
-----------------------------------------------------
City | REDDING
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 96003-2806
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-262-2436
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number | 1-17-27781
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------