Individual
ERIKA WADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
14535 CORDIAL LN APT 306, HUNTERSVILLE, NC 28078-3368
(843) 513-0964
Mailing address
14535 CORDIAL LN APT 306, HUNTERSVILLE, NC 28078-3368
(184) 383-0444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-21-46964
NC
106S00000X
Behavior Technician
BACB475185
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
NC
Enumeration date
12/17/2018
Last updated
01/11/2021
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