Individual
ERICKA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 STATE ST STE G750, SALEM, OR 97301-7012
(971) 273-7502
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(808) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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