Individual
ERICA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2519 E 10TH ST STE A, ANDERSON, IN 46012-4464
(317) 527-5437
(317) 318-1356
Mailing address
1834 FIELDS BLVD, GREENFIELD, IN 46140-3029
(317) 527-5437
(317) 318-1356
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33461
IN
106S00000X
Behavior Technician
RBT-16-20934
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027366
—
IN
Enumeration date
06/13/2018
Last updated
07/15/2019
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