Provider Demographics
NPI:1457949075
Name:CLARE, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:CLARE
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 1:7302 BELLAIRE LN
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-3980
Mailing Address - Country:US
Mailing Address - Phone:469-560-5705
Mailing Address - Fax:
Practice Address - Street 1:7302 BELLAIRE LN
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-3980
Practice Address - Country:US
Practice Address - Phone:469-560-5705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-24-73524103K00000X
247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst