Healthcare Provider Details

I. General information

NPI: 1881529220
Provider Name (Legal Business Name): ERIKA JAMISON BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1871 CALIFORNIA AVE
CORONA CA
92881-6477
US

IV. Provider business mailing address

1903 SAIL FISH DR
MANSFIELD TX
76063-5963
US

V. Phone/Fax

Practice location:
  • Phone: 951-686-2020
  • Fax:
Mailing address:
  • Phone: 214-223-1206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-82082
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: