Active NPI
Eric Oluwatoyin Elewodalu, BCBA
- Behavior Analyst
- Richmond, TX
National Provider Identifier
1053899211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-61280
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1737160 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Consulting LLC | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Richmond, TX
- NPI 1023870318
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.