Provider Demographics
NPI:1376802850
Name:MYLES, ERIKA SHERRON
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:SHERRON
Last Name:MYLES
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 1:2730 WILSHIRE BLVD
Mailing Address - Street 2:105
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-4743
Mailing Address - Country:US
Mailing Address - Phone:310-310-2931
Mailing Address - Fax:310-310-2097
Practice Address - Street 1:2730 WILSHIRE BLVD
Practice Address - Street 2:105
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-4743
Practice Address - Country:US
Practice Address - Phone:310-310-2931
Practice Address - Fax:310-310-2097
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst