Erica A Egnor, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18193 Issued in GA

Practice address

11285 Elkins Rd Ste G2
Roswell, GA 30076-1259

Phone

(678) 824-2145

Fax

(404) 937-2983

NPI assigned

Aug 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Locations

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.

• Milton Speech Pathology, LLC

  dba Amy Squires, SLP

  • Speech-Language Pathologist
  • Roswell, GA
  • NPI 1679020499
  NPD
• Jacksonville School for Autism

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1295077840
  NPD (past)
• Jsa Clinical Group, Inc.

  • Developmental Therapist
  • Jacksonville, FL
  • NPI 1639509359
  NPD (past)

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1316379944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 ELKINS RD STE G2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761259",
            "telephone_number": "678-824-2145",
            "fax_number": "404-937-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 ELKINS RD STE G2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761259",
            "telephone_number": "678-824-2145",
            "fax_number": "404-937-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGNOR",
        "first_name": "ERICA",
        "middle_name": "A",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-15-18193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Edwards
• Robin Jeanise Edwards, FNP-C
• Tamyra Edwards, PSYD
• Tiffany Cherell Edwards
• Andrea Kristin Eggleston
• Ehi Clinical Study Research Center, LLC.
• Ehi Pharmacy Solutions, LLC.
• Marc David Einhorn, PSYD
• Gregory Eisenberg, LMT, CNMT
• Oleg Eduard Eisenstein, DMD

• Behavior Analyst in Roswell, GA
• Providers in Roswell, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.