Provider Demographics
NPI:1508371428
Name:BARRY, ERIN JEAN
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:JEAN
Last Name:BARRY
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 1:792 PLYMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-2752
Mailing Address - Country:US
Mailing Address - Phone:508-807-4996
Mailing Address - Fax:508-807-4998
Practice Address - Street 1:792 PLYMOUTH ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-2752
Practice Address - Country:US
Practice Address - Phone:508-807-4996
Practice Address - Fax:508-807-4998
Is Sole Proprietor?:No
Enumeration Date:2017-12-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1194953182OtherABA THERAPY