Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
Y | 103K00000X | Behavior Analyst | ||
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
N | 103TF0200X | Forensic Psychologist | ||
N | 103TR0400X | Rehabilitation Psychologist |
NPI | 1164814208 |
---|---|
Provider Name | Erick Becerra |
First Address | Sparks, NV 89431 |
Second Address | Sparks, NV 89431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2015 |
Last Update Date | 26/02/2015 |