Erika Grant

Individual provider Active NPI Behavior Technician · Valparaiso, IN

NPI 1407684707 · NPPES record last updated Jul 26, 2024

Key facts

NPI
1407684707
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
501 Wall St
Valparaiso, IN 46383-2537
Phone
(317) 960-4052
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Ccaba Past
since Jul 28, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

501 Wall St
Valparaiso, IN 46383-2537

Mailing address

2785 Cason St # 2
Lafayette, IN 47904-2843

Other providers in Valparaiso, IN

All providers in Valparaiso, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.