Ericka Bermudez
Assistant Behavior Analyst
2642 Mcguire Dr Nw
Kennesaw
, Georgia 30144-5251
Ericka Bermudez
Assistant Behavior Analyst
2642 Mcguire Dr Nw
Kennesaw
, Georgia 30144-5251
(678) 622-6905
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About
Features
Specialties
- Assistant Behavior Analyst
Languages spoken
- English
Location
First Address
- Ericka Bermudez
- 2642 Mcguire Dr Nw
- Kennesaw, GA
- Zip : 30144-5251
- Phone : (678) 622-6905
Second Address
- Ericka Bermudez
- 2642 Mcguire Dr Nw
- Kennesaw, GA
- Zip : 30144-5251
- Phone : (678) 622-6905
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Is Ericka Bermudez a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 106E00000X | Assistant Behavior Analyst | GA | |
| Y | 106E00000X | Assistant Behavior Analyst | 0-18-9385 | GA |
National Provider Identifier
| NPI | 1114481587 |
|---|---|
| Provider Name | Ericka Bermudez |
| First Address | Kennesaw, GA 30144-5251 |
| Second Address | Kennesaw, GA 30144-5251 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2019 |
| Last Update Date | 29/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.