Most Relevant Information
Provider Data
NPI Number: | 1003507872 |
Provider Name: | ERIKA LOVELESS |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 05/15/2023 |
Last Updated: | 05/15/2023 |
Provider Practice Location
222 S MAIN ST
SALT LAKE CITY
UT
841012174
Practice Location Phone/Fax
Phone: | 8552237123 |
Fax: | 6193747134 |
Provider Mailing Location
PO BOX 33568
SAN DIEGO
CA
921633568
Provider Mailing Phone/Fax
Phone: | 8552237123 |
Fax: | 6193747134 |