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NPI Code Detail

MEDICARE: ERYKAH ZIVON MARY SPRIGGS

MEDICARE: ERYKAH ZIVON MARY SPRIGGS
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst0-22-13558GA
2103K00000XBehavior Analyst1-24-74211GA

General Provider Information

NPI Number : 1164165221
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERYKAH ZIVON MARY SPRIGGS
Provider Business Mailing Address
First Line : 806 TOWNE PARK DR STE 100
Second Line :
City : RINCON
State : GA
Zip : 31326-9369
Country : US
Telephone Number : 978-547-6864
Fax Number :
Provider Business Practice Location Address
First Line : 806 TOWNE PARK DR STE 100
Second Line :
City : RINCON
State : GA
Zip : 31326-9369
Country : US
Telephone Number : 978-547-6864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2022
Last Update Date : 12/05/2024

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Directions to “ ERYKAH ZIVON MARY SPRIGGS ” Practice Location

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