Individual provider Active NPI

Erica Rau

  • Behavior Analyst
  • Pikesville, MD
National Provider Identifier
1932593407
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA400 Issued in MD
Practice address
31 Walker Ave Ste 120
Pikesville, MD 21208-4019
Phone
(410) 205-2315
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Other Technician 247200000X NC
Behavior Analyst 103K00000X LBA400 MD Primary

Addresses

Primary practice location

31 Walker Ave Ste 120
Pikesville, MD 21208-4019

Mailing address

18007 Silver Leaf Dr
Gaithersburg, MD 20877-3764
Phone (910) 779-7236

Other practice location 1

581 Executive Pl
Suite 500
Fayetteville, NC 28305-5702
Phone (910) 493-3555

Other practice location 2

581 Executive Pl
Suite 500
Fayetteville, NC 28305-5702
Phone (910) 493-3555

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
LBA400MDMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932593407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18007 SILVER LEAF DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773764",
            "telephone_number": "910-779-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WALKER AVE STE 120",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084019",
            "telephone_number": "410-205-2315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "581 Executive Pl",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055702",
            "country_code": "US",
            "telephone_number": "910-493-3555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "581 Executive Pl",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055702",
            "country_code": "US",
            "telephone_number": "910-493-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAU",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.