Individual
ERICA BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1880 GLASSBORO RD, WILLIAMSTOWN, NJ 08094-8721
(856) 881-0400
Mailing address
67 SWEETFERN CT, MARLTON, NJ 08053-3739
(856) 649-8628
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27741
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-27741
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
04/15/2019
Last updated
04/15/2019
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