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NPI Code Detail

MEDICARE: ERICA WOLDANSKI

MEDICARE: ERICA WOLDANSKI
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 Analyst1-22-58859GA

General Provider Information

NPI Number : 1871237743
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA WOLDANSKI
Provider Business Mailing Address
First Line : 11560 GREAT OAKS WAY # 300
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-2453
Country : US
Telephone Number : 404-474-0040
Fax Number : 404-704-0895
Provider Business Practice Location Address
First Line : 11560 GREAT OAKS WAY # 300
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-2453
Country : US
Telephone Number : 404-474-0040
Fax Number : 404-704-0895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2022
Last Update Date : 02/11/2026

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Directions to “ ERICA WOLDANSKI ” Practice Location

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