Provider Demographics
NPI:1205209491
Name:QUINERLY, ERIKA
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:QUINERLY
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 1:333 WEST ST
Mailing Address - Street 2:APT.3
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-1321
Mailing Address - Country:US
Mailing Address - Phone:617-361-6239
Mailing Address - Fax:
Practice Address - Street 1:333 WEST ST
Practice Address - Street 2:APT.3
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-1321
Practice Address - Country:US
Practice Address - Phone:617-361-6239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst