Individual provider Active NPI

Erin Ann Schaller, BCBA

  • Behavior Analyst
  • MC Lean, VA
National Provider Identifier
1194060780
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1651 Old Meadow Rd
Suite 600
MC Lean, VA 22102-4311
Phone
(703) 506-0123
Fax
(866) 857-0246
NPI assigned
Dec 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1651 Old Meadow Rd
Suite 600
MC Lean, VA 22102-4311

Mailing address

1651 Old Meadow Rd
Suite 600
MC Lean, VA 22102-4311
Phone (703) 506-0123

Other identifiers 2

IdentifierTypeStateIssuer
1689638488MedicaidMD
1689638488MedicaidVA

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

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1194060780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 OLD MEADOW RD",
            "address_2": "SUITE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024311",
            "telephone_number": "703-506-0123",
            "fax_number": "866-857-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 OLD MEADOW RD",
            "address_2": "SUITE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024311",
            "telephone_number": "703-506-0123",
            "fax_number": "866-857-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLER",
        "first_name": "ERIN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689638488",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689638488",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.