Provider Demographics
NPI:1144819640
Name:ERRIAH, BIANCA
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:ERRIAH
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 1:9023 183RD ST # 1
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-2340
Mailing Address - Country:US
Mailing Address - Phone:718-664-0117
Mailing Address - Fax:
Practice Address - Street 1:9023 183RD ST # 1
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-2340
Practice Address - Country:US
Practice Address - Phone:718-664-0117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst