Provider Demographics
NPI:1376989152
Name:FLANAGAN, ERIN (MT, BCBA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:MT, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3875 WINONA CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2204
Mailing Address - Country:US
Mailing Address - Phone:914-715-4266
Mailing Address - Fax:
Practice Address - Street 1:3875 WINONA CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-2204
Practice Address - Country:US
Practice Address - Phone:914-715-4266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst