Provider Demographics
NPI:1144956996
Name:ISOLA, ERIN MICHELLE JOY
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MICHELLE JOY
Last Name:ISOLA
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 1:1002 PINEHAVEN CT
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6251
Mailing Address - Country:US
Mailing Address - Phone:269-686-6305
Mailing Address - Fax:
Practice Address - Street 1:1002 PINEHAVEN CT
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-6251
Practice Address - Country:US
Practice Address - Phone:269-686-6305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-25
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty