Individual provider Active NPI

Erika Harper, BCBA

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1912441494
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-49864 Issued in FL
Practice address
13553 Atlantic Blvd Ste 100
Jacksonville, FL 32225-4227
Phone
(904) 420-7030
NPI assigned
Dec 19, 2016
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-21-49864 FL Primary

Addresses

Primary practice location

13553 Atlantic Blvd Ste 100
Jacksonville, FL 32225-4227

Mailing address

13553 Atlantic Blvd Ste 100
Jacksonville, FL 32225-4227
Phone (904) 420-7030

Other practice location 1

10175 Fortune Pkwy
Suite 903
Jacksonville, FL 32256-6746
Phone (904) 538-0713

Other practice location 2

1563 Kingsley Ave Ste 103
Orange Park, FL 32073-4503
Phone (904) 604-9740

Other identifiers 1

IdentifierTypeStateIssuer
1912441494MedicaidFL

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

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1912441494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13553 ATLANTIC BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254227",
            "telephone_number": "904-420-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13553 ATLANTIC BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254227",
            "telephone_number": "904-420-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10175 Fortune Pkwy",
            "address_2": "Suite 903",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322566746",
            "country_code": "US",
            "telephone_number": "904-538-0713",
            "fax_number": "904-538-0714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1563 Kingsley Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734503",
            "country_code": "US",
            "telephone_number": "904-604-9740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARPER",
        "first_name": "ERIKA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-49864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912441494",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

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

Verify at the official NPI Registry.