Individual provider Active NPI

Eric Oluwatoyin Elewodalu, BCBA

  • Behavior Analyst
  • Richmond, TX
National Provider Identifier
1053899211
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-61280 Issued in TX
Practice address
7314 Ramsgate Cliff LN
Richmond, TX 77407-3523
Phone
(713) 240-5722
NPI assigned
Jul 31, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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 1737160 TX
Behavior Analyst 103K00000X 1-22-61280 TX Primary

Addresses

Primary practice location

7314 Ramsgate Cliff LN
Richmond, TX 77407-3523

Mailing address

7314 Ramsgate Cliff LN
Richmond, TX 77407-3523
Phone (713) 240-5722

Other practice location 1

10811 Richmond Ave Apt 124
Houston, TX 77042-4768
Phone (171) 324-0572

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
1737160TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Consulting LLC Behavior Analyst CurrentSince Jan 28, 2024 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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1053899211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7314 RAMSGATE CLIFF LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073523",
            "telephone_number": "713-240-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7314 RAMSGATE CLIFF LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073523",
            "telephone_number": "713-240-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10811 Richmond Ave Apt 124",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770424768",
            "country_code": "US",
            "telephone_number": "171-324-0572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELEWODALU",
        "first_name": "ERIC",
        "middle_name": "OLUWATOYIN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "1737160",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-22-61280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.