Active NPI
Erica Marie Collins, CHT
- Behavior Analyst
- Liberty Township, OH
National Provider Identifier
1093055386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 103116
- Practice address
- 7400 Liberty One Dr
Liberty Township, OH 45044-8874 - Phone
- (513) 424-4730
- Fax
- (513) 424-4730
- NPI assigned
- Feb 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 103116 | CA | Primary |
Addresses
Primary practice location
7400 Liberty One Dr
Liberty Township, OH 45044-8874
Mailing address
4111 Riverview Ave
Middletown, OH 45042-2855
Phone (513) 424-4730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103116 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1093055386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 RIVERVIEW AVE",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450422855",
"telephone_number": "513-424-4730",
"fax_number": "513-424-4730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 LIBERTY ONE DR",
"city": "LIBERTY TOWNSHIP",
"state": "OH",
"postal_code": "450448874",
"telephone_number": "513-424-4730",
"fax_number": "513-424-4730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "ERICA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-22",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "103116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty Township, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.