Provider Demographics
NPI:1427691393
Name:AUMAND, ERICA XAVIER
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:XAVIER
Last Name:AUMAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2347 SIERRA BLANCA LOOP APT B
Mailing Address - Street 2:
Mailing Address - City:HOLLOMAN AFB
Mailing Address - State:NM
Mailing Address - Zip Code:88330-8372
Mailing Address - Country:US
Mailing Address - Phone:970-412-5106
Mailing Address - Fax:
Practice Address - Street 1:2347 SIERRA BLANCA LOOP APT B
Practice Address - Street 2:
Practice Address - City:HOLLOMAN AFB
Practice Address - State:NM
Practice Address - Zip Code:88330-8372
Practice Address - Country:US
Practice Address - Phone:970-412-5106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician