Provider Demographics
NPI:1407365240
Name:CORRAL-ARVIZU, ERIKA (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:CORRAL-ARVIZU
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1413 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-2834
Mailing Address - Country:US
Mailing Address - Phone:760-565-2702
Mailing Address - Fax:760-592-4209
Practice Address - Street 1:1413 W STATE ST
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-2834
Practice Address - Country:US
Practice Address - Phone:760-565-2702
Practice Address - Fax:760-592-4209
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-17-26978103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst