Provider Demographics
NPI:1881012268
Name:VALKO, ERICA (BCBA, MA)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:VALKO
Suffix:
Gender:F
Credentials:BCBA, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 GAZEBO DR
Mailing Address - Street 2:APARTMENT E
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7908
Mailing Address - Country:US
Mailing Address - Phone:412-443-5104
Mailing Address - Fax:
Practice Address - Street 1:2413 GAZEBO DR
Practice Address - Street 2:APARTMENT E
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-7908
Practice Address - Country:US
Practice Address - Phone:412-443-5104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1-14-15848103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst