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NPI Code Detail

MEDICARE: ERICA FERRELL CUYONG BCBA

MEDICARE: ERICA FERRELL CUYONG 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
1106H00000XMarriage & Family Therapist133532CA
2103K00000XBehavior Analyst1-18-29613CA

General Provider Information

NPI Number : 1770066953
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA FERRELL CUYONG BCBA
Provider Business Mailing Address
First Line : 1063 MCGAW AVE
Second Line :
City : IRVINE
State : CA
Zip : 92614-5505
Country : US
Telephone Number : 714-679-3341
Fax Number :
Provider Business Practice Location Address
First Line : 1063 MCGAW AVE
Second Line :
City : IRVINE
State : CA
Zip : 92614-5505
Country : US
Telephone Number : 714-679-3341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2018
Last Update Date : 03/03/2023

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Directions to “ ERICA FERRELL CUYONG BCBA” Practice Location

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