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NPI Code Detail

MEDICARE: ERICA WHITE

MEDICARE: ERICA WHITE
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
1103K00000XBehavior Analyst
2103K00000XBehavior Analyst60940213WA

General Provider Information

NPI Number : 1407399439
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA WHITE
Provider Business Mailing Address
First Line : 1720 N HAMILTON ST
Second Line :
City : SPOKANE
State : WA
Zip : 99207-2474
Country : US
Telephone Number : 248-299-0030
Fax Number :
Provider Business Practice Location Address
First Line : 1720 N HAMILTON ST
Second Line :
City : SPOKANE
State : WA
Zip : 99207-2474
Country : US
Telephone Number : 360-246-4248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2016
Last Update Date : 06/16/2022

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Directions to “ ERICA WHITE ” Practice Location

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