Erin Mallory Collins, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1245764927 Issued in TN

Practice address

925 Conference Dr
Greenville, NC 27858

Phone

(252) 689-6645

NPI assigned

Jan 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Great Strides Behavior Solutions, LLC

  • Behavior Analyst
  • Cordova, TN
  • NPI 1578348900
  NPD Authorized official

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1679081145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CONFERENCE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CONFERENCE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27858",
            "telephone_number": "252-689-6645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7563 Neshoba Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381382114",
            "country_code": "US",
            "telephone_number": "901-729-9691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ERIN",
        "middle_name": "MALLORY",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1245764927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-17-28216",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David N Collier, MD
• Kayla Collier
• Bobby McManus Collins II, DDS, MS
• David F Collins, CERTIFIED ORTHOTIST
• Erica Nelson Collins, CRNA
• Lisa Dawn Collins, MS, CCC-SLP
• Matthew Alan Collins, MD
• Meredith Lynn Collins, D.O.
• Michael Daniel Collins
• Matthew Colna, MD

• Behavior Analyst in Greenville, NC
• Providers in Greenville, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.