Provider Demographics
NPI:1255149944
Name:NUNEZ, ERIKA MARINA
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:MARINA
Last Name:NUNEZ
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 1:1201 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-4116
Mailing Address - Country:US
Mailing Address - Phone:310-882-1193
Mailing Address - Fax:281-783-2389
Practice Address - Street 1:7821 N HIGHWAY 146
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77523-7617
Practice Address - Country:US
Practice Address - Phone:713-972-6665
Practice Address - Fax:281-783-2839
Is Sole Proprietor?:No
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-24-78425103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst