Provider Demographics
NPI:1528930443
Name:FOREGARD, ERIKA EVANGELENE
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:EVANGELENE
Last Name:FOREGARD
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 1:10320 BURWOOD ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-8025
Mailing Address - Country:US
Mailing Address - Phone:702-302-8445
Mailing Address - Fax:
Practice Address - Street 1:7995 BLUE DIAMOND RD # 102-304
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-9301
Practice Address - Country:US
Practice Address - Phone:702-848-6070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician