Provider Demographics
NPI:1902386717
Name:EVERLY, ERIKA JOY (BCBA, LBA, LBS)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:JOY
Last Name:EVERLY
Suffix:
Gender:F
Credentials:BCBA, LBA, LBS
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:JOY
Other - Last Name:POSTELNEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA, LBA, LBS
Mailing Address - Street 1:7108 S KANNER HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-7462
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:170 MEETING ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-3153
Practice Address - Country:US
Practice Address - Phone:855-832-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA32098199106S00000X
1-20-46807103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician