Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 156F00000X | Technician/Technologist |
NPI | 1194105163 |
---|---|
Provider Name | Mrs. Erika Eva Hyatt |
First Address | Shelby Township, MI 48316-5747 |
Second Address | Shelby Township, MI 48316-5747 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2015 |
Last Update Date | 05/10/2021 |