Erika Amethyst Petre, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1250 S a W Grimes Blvd
Round Rock, TX 78664-2854

Phone

(512) 677-9339

NPI assigned

Feb 28, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671840000000",
    "number": "1093216673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 JAIRED DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787244416",
            "telephone_number": "210-748-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S A W GRIMES BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642854",
            "telephone_number": "512-677-9339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9390 Research Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787596585",
            "country_code": "US",
            "telephone_number": "210-748-4432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRE",
        "first_name": "ERIKA",
        "middle_name": "AMETHYST",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2022-12-24",
        "certification_date": "2022-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Peterson
• Ryan S Peterson, MD
• Sandra Peterson, FNP
• Stephanie Peterson, DPT
• Genita Petralli, AMNA
• Edward Wayne Petrik, M.D.
• Madison Petrmichl, BCBA
• Bonny Benjamin Petty, PA-C
• Mo Pezeshk, D.D.S.
• Amber Pfertner

• Behavior Analyst in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.