Erica Robin Wilson, PH. D, BCBA-D

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

10183544 Issued in OR

Practice address

332 NW 58TH St
Newport, OR 97365-1004

Phone

(949) 525-5659

NPI assigned

Apr 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Erica Holding Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Monarch Learning, LLC

  • Behavior Analyst
  • Newport, OR
  • NPI 1437902293
  NPD Authorized official

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1700143286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 NW 58TH ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973651004",
            "telephone_number": "949-525-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 NW 58TH ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973651004",
            "telephone_number": "949-525-5659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 NW 169th Pl Ste B100",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970067362",
            "country_code": "US",
            "telephone_number": "866-727-8274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ERICA",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "PH. D, BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-01-0418",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "10183544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-01-0418",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED BEHAVIOR ANALYST",
            "identifier": "10183544",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "HOLDING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Williams, LPC
• Kathryn Williams, PA
• Robert Williams
• Molly Grace Williamson, PTA
• Douglas A Wilson, MD
• Patricia Kristen Wilson, QMHA
• James D. Windell, D.M.D.
• Audra Luz Kathleena Wisham, M.D.
• Cheryl Ann Wittmier, RN
• Douglas Edward Witzke, R.PH

• Behavior Analyst in Newport, OR
• Providers in Newport, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.