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Erricka Stark, CAPSW, BCBA
NPI 1912307711 · on the registry since 2014 · sole proprietor
Practice
- Address
- 6601 Washington Ave
Racine, WI 53406 - Phone
- (262) 880-5864
- Fax
- (262) 995-7333
- Organisation at this address
- Asd Impact Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 104100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-01-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin