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NPI Code Detail

MEDICARE: ERIN WILL

MEDICARE: ERIN WILL
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
1106S00000XBehavior Technician
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1457539280
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN WILL
Provider Business Mailing Address
First Line : 16782 VON KARMAN AVE STE 11
Second Line :
City : IRVINE
State : CA
Zip : 92606-2417
Country : US
Telephone Number : 949-833-2237
Fax Number :
Provider Business Practice Location Address
First Line : 2928 JEFFERSON ST STE 100
Second Line :
City : CARLSBAD
State : CA
Zip : 92008-2374
Country : US
Telephone Number : 760-637-9996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2008
Last Update Date : 08/29/2019

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Directions to “ ERIN WILL ” Practice Location

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