Active NPI
Erin Rose, M.S. BCBA
- Behavior Analyst
- Riverview, FL
National Provider Identifier
1306352299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 11910 Boyette Rd
Riverview, FL 33569-5601 - Phone
- (877) 350-5005
- NPI assigned
- Dec 14, 2017
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
11910 Boyette Rd
Riverview, FL 33569-5601
Mailing address
220 Grand Regency Blvd
Brandon, FL 33510-3935
Phone (913) 709-7989
Other practice location 1
4750 Collegiate Dr
Panama City, FL 32405-1000
Phone (850) 770-2241
Other names 1
- Erin Davis
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- University Park, FL
- NPI 1700461704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1306352299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 GRAND REGENCY BLVD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335103935",
"telephone_number": "913-709-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11910 BOYETTE RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335695601",
"telephone_number": "877-350-5005"
}
],
"practiceLocations": [
{
"address_1": "4750 Collegiate Dr",
"address_purpose": "LOCATION",
"city": "Panama City",
"state": "FL",
"postal_code": "324051000",
"country_code": "US",
"telephone_number": "850-770-2241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "ERIN",
"credential": "M.S. BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-14",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "DAVIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.