Provider Demographics
NPI:1306240155
Name:ERICKSON, DANIELLE N (BCBA)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:N
Last Name:ERICKSON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:DANIELLE
Other - Middle Name:N
Other - Last Name:DOBSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BCBA
Mailing Address - Street 1:400 S COLORADO BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1246
Mailing Address - Country:US
Mailing Address - Phone:303-322-9000
Mailing Address - Fax:
Practice Address - Street 1:400 S COLORADO BLVD STE 400
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246
Practice Address - Country:US
Practice Address - Phone:303-322-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-21
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-14-9861103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst