MEDICARE: ERICA MIOTTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	103K00000X	Behavior Analyst
2	106S00000X	Behavior Technician
3	106E00000X	Assistant Behavior Analyst	MI

General Provider Information

NPI Number	:	1033651450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA MIOTTO

Provider Business Mailing Address
First Line	:	500 HANCOCK STREET
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48602-4224
Country	:	US
Telephone Number	:	989-797-3400
Fax Number	:	989-799-0206

Provider Business Practice Location Address
First Line	:	3727 WILDER RD
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2367
Country	:	US
Telephone Number	:	989-992-3497
Fax Number	:	989-799-0206

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2016
Last Update Date	:	01/07/2026

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Directions to “ ERICA MIOTTO ” Practice Location

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