Provider Demographics
NPI:1619595741
Name:LADD, ERICA (BCBA)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:LADD
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:SANSONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:52 RESERVE DR
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-3744
Mailing Address - Country:US
Mailing Address - Phone:314-591-3299
Mailing Address - Fax:
Practice Address - Street 1:3200 SPRING FOREST RD STE 206
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-2812
Practice Address - Country:US
Practice Address - Phone:704-703-8588
Practice Address - Fax:704-919-5548
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-17-27786103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst