Provider Demographics
NPI:1760823199
Name:MCGRATH, ERRION LEAH (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ERRION
Middle Name:LEAH
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MISS
Other - First Name:ERRION
Other - Middle Name:LEAH
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:214 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:WHITINSVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01588-1418
Mailing Address - Country:US
Mailing Address - Phone:508-266-7077
Mailing Address - Fax:508-266-7107
Practice Address - Street 1:214 CHURCH ST
Practice Address - Street 2:
Practice Address - City:WHITINSVILLE
Practice Address - State:MA
Practice Address - Zip Code:01588-1418
Practice Address - Country:US
Practice Address - Phone:508-266-7077
Practice Address - Fax:508-266-7107
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA01-04-1732103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
274193314OtherTIN