MEDICARE: ERIKA K NERCESS

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	:	1588914121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA K NERCESS

Provider Business Mailing Address
First Line	:	9685 SW 138TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-7342
Country	:	US
Telephone Number	:	305-668-8644
Fax Number	:	305-668-6010

Provider Business Practice Location Address
First Line	:	9685 SW 138TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-7342
Country	:	US
Telephone Number	:	305-668-8644
Fax Number	:	305-668-6010

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

Provider Enumeration Date	:	09/11/2012
Last Update Date	:	09/11/2012

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Directions to “ ERIKA K NERCESS ” Practice Location

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