Provider Demographics
NPI:1538512785
Name:MCMAHON, ERIN M (MS, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12839-1817
Mailing Address - Country:US
Mailing Address - Phone:518-791-0352
Mailing Address - Fax:
Practice Address - Street 1:26 LOCUST ST
Practice Address - Street 2:
Practice Address - City:HUDSON FALLS
Practice Address - State:NY
Practice Address - Zip Code:12839-1817
Practice Address - Country:US
Practice Address - Phone:518-791-0352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-22
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001388103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst