MEDICARE: ERICA NICOLE SALMOND

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
1	106E00000X	Assistant Behavior Analyst	105300309	SC

General Provider Information

NPI Number	:	1558229708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA NICOLE SALMOND

Provider Business Mailing Address
First Line	:	119 TILLMAN ST
Second Line	:
City	:	CAMDEN
State	:	SC
Zip	:	29020-2327
Country	:	US
Telephone Number	:	203-505-7325
Fax Number	:	203-505-7325

Provider Business Practice Location Address
First Line	:	119 TILLMAN ST
Second Line	:
City	:	CAMDEN
State	:	SC
Zip	:	29020-2327
Country	:	US
Telephone Number	:	203-505-7325
Fax Number	:	203-505-7325

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

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ ERICA NICOLE SALMOND ” Practice Location

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