Provider Demographics
NPI:1356237549
Name:MASHBURN, ERIKA (RBT)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:
Last Name:MASHBURN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:AL
Mailing Address - Zip Code:36401-2653
Mailing Address - Country:US
Mailing Address - Phone:251-227-3808
Mailing Address - Fax:
Practice Address - Street 1:521 GREENVILLE BYP
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:AL
Practice Address - Zip Code:36037-3732
Practice Address - Country:US
Practice Address - Phone:334-477-4686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician