Erica Konopka, BCBA
Individual provider Active NPI Behavior Analyst · Springdale, OH
NPI 1679997688 · NPPES record last updated Feb 11, 2014
Key facts
- NPI
- 1679997688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1073845 (OH)
- Practice address
- 305 Cameron Rd
Springdale, OH 45246-4101 - Phone
- (513) 874-6789
- Fax
- (513) 874-6787
- NPI assigned
- Feb 11, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1073845 | OH | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cincinnati Center for Autism | Behavior Analyst | Past | Accepting new patients |
| Cincinnati Center for Autism | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1073845 | OH | Yes |
Addresses
Primary practice location
305 Cameron Rd
Springdale, OH 45246-4101
Mailing address
305 Cameron Rd
Springdale, OH 45246-4101
Phone (513) 874-6789
Other providers in Springdale, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.