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NPI Code Detail

MEDICARE: ASHLYN CLARISSA ERICKSON

MEDICARE: ASHLYN CLARISSA ERICKSON
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
1103K00000XBehavior AnalystBACB612478IL

General Provider Information

NPI Number : 1649023003
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLYN CLARISSA ERICKSON
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 855-832-6727
Fax Number :
Provider Business Practice Location Address
First Line : 332 S MICHIGAN AVE STE 900
Second Line :
City : CHICAGO
State : IL
Zip : 60604-4393
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2024
Last Update Date : 01/06/2026

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Directions to “ ASHLYN CLARISSA ERICKSON ” Practice Location

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