Provider Demographics
NPI:1306111083
Name:MCNERNEY, ERIN KATHLEEN (PHD, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:KATHLEEN
Last Name:MCNERNEY
Suffix:
Gender:F
Credentials:PHD, BCBA-D
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:18008 SKY PARK CIR STE 110
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6434
Mailing Address - Country:US
Mailing Address - Phone:949-474-1493
Mailing Address - Fax:949-726-8324
Practice Address - Street 1:18008 SKY PARK CIR STE 110
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6434
Practice Address - Country:US
Practice Address - Phone:949-474-1493
Practice Address - Fax:949-726-8324
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-04-1883103K00000X
CAPSY26726103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical