Provider Demographics
NPI:1891384186
Name:PILLCO, ERIKA DANILLA
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:DANILLA
Last Name:PILLCO
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 1:6 MAY ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-1423
Mailing Address - Country:US
Mailing Address - Phone:508-762-7267
Mailing Address - Fax:
Practice Address - Street 1:6 MAY ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-1423
Practice Address - Country:US
Practice Address - Phone:508-762-7267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst