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Individual
MR. ERIK DUANE LERDAL
Active
Individual
MR. ERIK DUANE LERDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1095091
MA
103K00000X
Behavior Analyst
Primary
1095091
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1095091
BEHAVIOR ANALYSIS CERTIFICATION BOARD
—
01
—
133648
COMMONWEALTH OF MASSACHUSETTS STATE LICENSING BOARD
MA
Enumeration date
09/29/2009
Last updated
11/07/2022
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