Provider Demographics
NPI:1669351326
Name:RATTIGAN, ERIN RAE
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:RAE
Last Name:RATTIGAN
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 1:136 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:VALLEY GRANDE
Mailing Address - State:AL
Mailing Address - Zip Code:36703-9458
Mailing Address - Country:US
Mailing Address - Phone:508-617-3940
Mailing Address - Fax:
Practice Address - Street 1:1805 STATION DR
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36066-5667
Practice Address - Country:US
Practice Address - Phone:334-203-4219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAS53487603106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician