Individual provider Active NPI

Erin Kathleen Landgraf, BCBA

  • Behavior Analyst
  • Sonoma, CA
National Provider Identifier
1982949616
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-12686 Issued in CA
Practice address
935 Donald St
Sonoma, CA 95476-4610
Phone
(818) 522-1440
NPI assigned
Dec 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-12-12686 CA Primary

Addresses

Primary practice location

935 Donald St
Sonoma, CA 95476-4610

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Other practice location 1

1200 Concord Ave Ste 100
Concord, CA 94520-4969
Phone (510) 934-3398

Other practice location 2

17203 Ventura Blvd
Suite 3
Encino, CA 91316-4051
Phone (818) 501-3615

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

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Behavior Intervention, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1982949616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 DONALD ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954764610",
            "telephone_number": "818-522-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Concord Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945204969",
            "country_code": "US",
            "telephone_number": "510-934-3398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17203 Ventura Blvd",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913164051",
            "country_code": "US",
            "telephone_number": "818-501-3615",
            "fax_number": "818-501-3649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDGRAF",
        "first_name": "ERIN",
        "middle_name": "KATHLEEN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-12-12686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.