Provider Demographics
NPI:1992500987
Name:ROBINSON, ERYKAH LEIGH
Entity type:Individual
Prefix:
First Name:ERYKAH
Middle Name:LEIGH
Last Name:ROBINSON
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 HARBISON DR UNIT 507
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-3932
Mailing Address - Country:US
Mailing Address - Phone:908-447-4086
Mailing Address - Fax:
Practice Address - Street 1:183 BUTCHER RD STE B
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-5691
Practice Address - Country:US
Practice Address - Phone:707-724-6810
Practice Address - Fax:855-726-5366
Is Sole Proprietor?:No
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician