Individual provider Active NPI

Erika Brooks, RBT

  • Behavior Analyst
  • Richmond Hill, GA
National Provider Identifier
1902484538
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-69379 Issued in GA
Practice address
10221 Ford Ave Ste 1
Richmond Hill, GA 31324-0259
Phone
(912) 445-6063
Fax
(912) 445-6064
NPI assigned
Apr 2, 2021
Last updated
May 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-69379 GA Primary
Behavior Technician 106S00000X RBT-21-161979 GA

Addresses

Primary practice location

10221 Ford Ave Ste 1
Richmond Hill, GA 31324-0259

Mailing address

108 Merribee LN
Pooler, GA 31322-2242
Phone (757) 646-3622

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

LicenseStateTypeSpecialty
RBT-21-161979GAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope ABA LLC Behavior Analyst CurrentSince Apr 6, 2021 Accepting new patients

Locations

10221 Ford Ave
Ste 1
Richmond Hill, GA 31324
Phone (912) 445-5790

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1902484538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MERRIBEE LN",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222242",
            "telephone_number": "757-646-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 FORD AVE STE 1",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313240259",
            "telephone_number": "912-445-6063",
            "fax_number": "912-445-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ERIKA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-23-69379",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-21-161979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.