Individual
MISS ERICA MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
5960 FAIRVIEW RD STE 335, CHARLOTTE, NC 28210-3102
(718) 215-5311
Mailing address
1449 37TH ST STE 100, BROOKLYN, NY 11218-4381
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
002201
NY
103K00000X
Behavior Analyst
Primary
1536
NC
Other
Enumeration date
01/25/2022
Last updated
08/22/2024
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