Individual
ERICKA BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2642 MCGUIRE DR NW, KENNESAW, GA 30144-5251
(678) 622-6905
Mailing address
2642 MCGUIRE DR NW, KENNESAW, GA 30144-5251
(678) 622-6905
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-18-9385
GA
106E00000X
Assistant Behavior Analyst
—
GA
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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