Individual
MR. ERIK DUANE LERDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
200 PLEASANT ST, LEICESTER, MA 01524-1420
(401) 217-9817
Mailing address
200 PLEASANT ST, LEICESTER, MA 01524-1420
(401) 217-9817
(508) 363-1213
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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