Provider Demographics
NPI:1679263297
Name:BECOIN, ERIC F
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:F
Last Name:BECOIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 N SUMMIT DR APT 101
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-3058
Mailing Address - Country:US
Mailing Address - Phone:240-798-1717
Mailing Address - Fax:
Practice Address - Street 1:6 N SUMMIT DR APT 101
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-3058
Practice Address - Country:US
Practice Address - Phone:240-798-1717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator