Provider Demographics
NPI:1427692318
Name:ALTUVE, ERIKA LISSETTE (BEHAVIOR ANALYST)
Entity type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:LISSETTE
Last Name:ALTUVE
Suffix:
Gender:F
Credentials:BEHAVIOR ANALYST
Other - Prefix:MS
Other - First Name:ERIKA
Other - Middle Name:LISSETTE
Other - Last Name:ALTUVE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BEHAVIOR ANALYST
Mailing Address - Street 1:10700 CITY CENTER BLVD APT 5116
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4082
Mailing Address - Country:US
Mailing Address - Phone:786-448-2566
Mailing Address - Fax:
Practice Address - Street 1:8118 FRY RD STE 701
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7850
Practice Address - Country:US
Practice Address - Phone:281-815-5033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9386103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty