Provider Demographics
NPI:1669148417
Name:GERMICK, ERIN RAE (MS, BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:RAE
Last Name:GERMICK
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7754 MASON WAY
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-4392
Mailing Address - Country:US
Mailing Address - Phone:302-396-2756
Mailing Address - Fax:
Practice Address - Street 1:211 WARREN ST STE 313
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-3568
Practice Address - Country:US
Practice Address - Phone:973-234-0992
Practice Address - Fax:973-755-2002
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1-21-51001103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst