Active NPI
Erin Carlisle
- Behavior Analyst
- Augusta, GA
National Provider Identifier
1407324890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1212 Augusta West Pkwy
Augusta, GA 30909-1808 - Phone
- (706) 826-2770
- NPI assigned
- Nov 5, 2018
- Last updated
- May 2, 2023
- 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 | NU | Primary |
Addresses
Primary practice location
1212 Augusta West Pkwy
Augusta, GA 30909-1808
Mailing address
1212 Augusta West Pkwy
Augusta, GA 30909-1808
Phone (706) 826-2770
Other practice location 1
10014 N Dale Mabry Hwy
Tampa, FL 33618-4426
Phone (847) 306-9843
Other practice location 2
1237 Augusta West Pkwy
Augusta, GA 30909
Phone (866) 610-0580
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawn Bohanan Behavioral Consultation, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Launch Therapy Center
- Community/Behavioral Health Agency
- Augusta, GA
- NPI 1295143097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1407324890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 AUGUSTA WEST PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091808",
"telephone_number": "706-826-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 AUGUSTA WEST PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091808",
"telephone_number": "706-826-2770"
}
],
"practiceLocations": [
{
"address_1": "10014 N Dale Mabry Hwy",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336184426",
"country_code": "US",
"telephone_number": "847-306-9843",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1237 Augusta West Pkwy",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "30909",
"country_code": "US",
"telephone_number": "866-610-0580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLISLE",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-05",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.