MEDICARE: ERIN WINKLER

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1588251870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN WINKLER

Provider Business Mailing Address
First Line	:	225 CEDAR HILL ST STE 200
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-5900
Country	:	US
Telephone Number	:	857-576-5191
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 EL MORRO LN
Second Line	:
City	:	OAK FOREST
State	:	IL
Zip	:	60452-1922
Country	:	US
Telephone Number	:	331-233-2786
Fax Number	:

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

Provider Enumeration Date	:	12/21/2020
Last Update Date	:	12/21/2020

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