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ERRICKA STARK CAPSW BCBA NPI 1912307711


NPI Information

NPI: 1912307711
Provider Name: ERRICKA STARK, CAPSW, BCBA
Classification: Behavior Analyst - 103K00000X
Entity Type: Individual
Address:
6601 WASHINGTON AVE
RACINE, WI
ZIP 53406
Phone: (262) 880-5864
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Erricka Stark, CAPSW, BCBA is a behavior analyst in Racine, WI. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. Erricka Stark, CAPSW, BCBA NPI is 1912307711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6601 WASHINGTON AVE
RACINE, WI
ZIP 53406-923
Phone: (262) 880-5864
Fax: (262) 995-7333

The enumeration date for this NPI number is 8/28/2014 and was last updated on 1/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker128554-121WISCONSINNo
2103K00000XBehavior Analyst214-140WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1214-140OTHERWISCONSINDEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
21-17-28076OTHERBEHAVIOR ANALYST CERTIFICATION BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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