Individual provider Active NPI

Erica Robertson, BCBA

  • Behavior Analyst
  • Anderson, IN
National Provider Identifier
1245723329
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-33461 Issued in IN
Practice address
2519 E 10TH St Ste a
Anderson, IN 46012-4464
Phone
(317) 527-5437
Fax
(317) 318-1356
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-16-20934 IN
Behavior Analyst 103K00000X 1-18-33461 IN Primary

Addresses

Primary practice location

2519 E 10TH St Ste a
Anderson, IN 46012-4464

Mailing address

1834 Fields Blvd
Greenfield, IN 46140-3029
Phone (317) 527-5437

Other identifiers 1

IdentifierTypeStateIssuer
300027366MedicaidIN

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

LicenseStateTypeSpecialty
RBT-16-20934INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy and Behavior Services, LLC Behavior Analyst CurrentSince Jul 25, 2019 Accepting new patients
ABA Grateful Care in Behavior Analyst Past Accepting new patients

Locations

2519 E 10th St
Ste A
Anderson, IN 46012
Phone (317) 527-5437

1834 Fields Blvd
Greenfield, IN 46140
Phone (317) 462-5358

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1245723329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 FIELDS BLVD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403029",
            "telephone_number": "317-527-5437",
            "fax_number": "317-318-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 E 10TH ST STE A",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124464",
            "telephone_number": "317-527-5437",
            "fax_number": "317-318-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ERICA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-16-20934",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-18-33461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300027366",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.