Provider Demographics
NPI:1073964995
Name:MARQUEZ, ERIKA D
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:D
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9081 KING RD W
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33967-3708
Mailing Address - Country:US
Mailing Address - Phone:954-842-5421
Mailing Address - Fax:
Practice Address - Street 1:9081 KING RD W
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33967-3708
Practice Address - Country:US
Practice Address - Phone:954-842-5421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-22
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst