Erica Marie Jarvis

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-52566 Issued in NH

Practice address

170 Kearsarge Rd
North Conway, NH 03860-5331

Phone

(603) 356-6616

Fax

(603) 356-6617

NPI assigned

Sep 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Erica Page Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Granite State ABA Services

  • Behavior Analyst
  • North Conway, NH
  • NPI 1063964930
  NPD (past)

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1861162489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955",
            "city": "GLEN",
            "state": "NH",
            "postal_code": "038380955",
            "telephone_number": "603-356-6616",
            "fax_number": "603-356-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 KEARSARGE RD",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605331",
            "telephone_number": "603-356-6616",
            "fax_number": "603-356-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "ERICA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NH",
            "license": "1-21-52566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "PAGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Patricia M Keane, PT, MA

• Behavior Analyst in North Conway, NH
• Providers in North Conway, NH by specialty
• Behavior Analyst in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.