Provider Demographics
NPI:1255190872
Name:MCCANN, ERIKA (MED, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:MCCANN
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21025 N 8TH WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-4205
Mailing Address - Country:US
Mailing Address - Phone:602-960-8075
Mailing Address - Fax:
Practice Address - Street 1:21025 N 8TH WAY STE 100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-4205
Practice Address - Country:US
Practice Address - Phone:602-960-8075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst