MEDICARE: ERIN EATON MA, BCBA

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	1-25-81536	CO
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1619466687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN EATON MA, BCBA

Provider Business Mailing Address
First Line	:	2830 ARAPAHOE RD UNIT 203
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-8041
Country	:	US
Telephone Number	:	949-350-0717
Fax Number	:

Provider Business Practice Location Address
First Line	:	2830 ARAPAHOE RD UNIT 203
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-8041
Country	:	US
Telephone Number	:	949-350-0717
Fax Number	:

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

Provider Enumeration Date	:	05/05/2018
Last Update Date	:	05/30/2025

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