Most Relevant Information
Provider Data
| NPI Number: | 1003655606 |
| Provider Name: | ERIKA VIVAR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/22/2024 |
| Last Updated: | 05/22/2024 |
Provider Practice Location
1517 REISTERSTOWN RD
BALTIMORE
MD
212084325
Practice Location Phone/Fax
| Phone: | 4105411316 |
| Fax: |
Provider Mailing Location
1517 REISTERSTOWN RD
BALTIMORE
MD
212084325
Provider Mailing Phone/Fax
| Phone: | 4105411316 |
| Fax: |