Provider Demographics
NPI:1851880553
Name:HORIGAN, ERIKA LYNN (LABA, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:LYNN
Last Name:HORIGAN
Suffix:
Gender:F
Credentials:LABA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 STATE RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-5134
Mailing Address - Country:US
Mailing Address - Phone:508-591-7366
Mailing Address - Fax:
Practice Address - Street 1:1831 OCEAN ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-4977
Practice Address - Country:US
Practice Address - Phone:781-834-1300
Practice Address - Fax:781-834-7513
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1422103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1-17-27428OtherBOARD CERTIFIED BEHAVIOR ANALYST
MA1422OtherLICENSED BEHAVIOR ANALYST