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NPI Code Detail

MEDICARE: ERIKA A DECATUR MA, BCBA, LBA

MEDICARE: ERIKA A DECATUR MA, BCBA, LBA
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 AnalystLBA001697GA

General Provider Information

NPI Number : 1700547080
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA A DECATUR MA, BCBA, LBA
Provider Business Mailing Address
First Line : 230 MARTIN LUTHER KING JR DR SE APT 2224
Second Line :
City : ATLANTA
State : GA
Zip : 30312-2195
Country : US
Telephone Number : 818-624-1996
Fax Number :
Provider Business Practice Location Address
First Line : 1410 CUSTER AVE SE
Second Line :
City : ATLANTA
State : GA
Zip : 30316-3304
Country : US
Telephone Number : 404-902-3744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2022
Last Update Date : 01/07/2026

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