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General NPI Number Information
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NPI Number | 1477442713
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Entity Type | Individual
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Provider Name | ERICA JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 28111 S FIRETHORNE RD
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City | KATY
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State | TX
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Zip | 77494-0306
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Country | US
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Telephone | 281-971-0766
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Fax |
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Provider Business Mailing Address
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Address Line | 720 SURREY LN
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City | WALLIS
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State | TX
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Zip | 77485-8106
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Country | US
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Telephone | 346-218-4715
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT24358375
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License Number State | TX
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