Provider Demographics
NPI:1427931922
Name:NICHOLS, ERIKA LEIGH (RBT)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:LEIGH
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:LEIGH
Other - Last Name:ASHLINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2439 CARL CT
Mailing Address - Street 2:
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-4211
Mailing Address - Country:US
Mailing Address - Phone:517-404-5295
Mailing Address - Fax:
Practice Address - Street 1:29226 ORCHARD LAKE RD STE 290
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3062
Practice Address - Country:US
Practice Address - Phone:231-412-1582
Practice Address - Fax:231-412-1582
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIRBT-25-435720106S00000X
MIBACB1322906106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician