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NPI Code Detail

MEDICARE: ERIKA ENRIQUEZ

MEDICARE: ERIKA ENRIQUEZ
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 TechnicianCA

General Provider Information

NPI Number : 1609733302
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA ENRIQUEZ
Provider Business Mailing Address
First Line : 14148 MAGNOLIA BLVD STE 103
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91423-6414
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14148 MAGNOLIA BLVD STE 103
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91423-6414
Country : US
Telephone Number : 657-444-9002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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1043783921 — TYLER JAMES COCHRAN
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Directions to “ ERIKA ENRIQUEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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