Active NPI
Erica A Stafford, RBT
- Behavior Technician
- Riverside, CA
National Provider Identifier
1831670348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-63743
- Practice address
- 2155 Chicago Ave Ste 203
Riverside, CA 92507-2209 - Phone
- (951) 357-6926
- Fax
- (855) 568-2494
- NPI assigned
- Aug 22, 2018
- 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 Technician | 106S00000X | RBT-18-63743 | CA | Primary |
Addresses
Primary practice location
2155 Chicago Ave Ste 203
Riverside, CA 92507-2209
Mailing address
1445 Ripchak Rd
Corona, CA 92879-1137
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-63743 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1831670348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 RIPCHAK RD",
"city": "CORONA",
"state": "CA",
"postal_code": "928791137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2155 CHICAGO AVE STE 203",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072209",
"telephone_number": "951-357-6926",
"fax_number": "855-568-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "ERICA",
"middle_name": "A",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-18-63743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.