Bermudez, Ericka
Bermudez, Ericka is an sole proprietor health care provider with primary practice located at 2642 Mcguire Dr Nw , Kennesaw GA 30144-5251. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Bermudez, Ericka can be contacted via phone (678) 622-6905.Contact Information
Primary practice address
2642 Mcguire Dr Nw
Kennesaw GA 30144-5251
Phone: (678) 622-6905
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | Georgia | |
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | 0-18-9385 | Georgia |
Profile Details
| NPI number | 1114481587 |
|---|---|
| LBN Legal business name | Bermudez, Ericka |
| Credentials | BCABA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2019 |
| Last updated | Jan 29th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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