Kori Nicole Merriman, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4442 5TH St W
Bradenton, FL 34207-1531

Phone

(941) 744-1211

Fax

(941) 666-7419

NPI assigned

Dec 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kori Nicole Disler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Family Success Services, Incorporated

  • Behavior Analyst
  • Lehigh Acres, FL
  • NPI 1518316967
  NPD (past)
• Florida Behavior Support

  • Behavior Analyst
  • Bradenton, FL
  • NPI 1851020564
  NPD (past)

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1104398544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 4TH AVENUE CIR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085621",
            "telephone_number": "941-744-1211",
            "fax_number": "961-666-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4442 5TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071531",
            "telephone_number": "941-744-1211",
            "fax_number": "941-666-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "KORI",
        "middle_name": "NICOLE",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORI",
            "last_name": "DISLER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zorica Jelisijevic Mercadante, MD
• Kelsie Merent
• Marleny Sarai Merida
• Shaun M Merolle, CCC-SLP
• Hunter D Merriman, DC
• Merritt Nutrition LLC
• Jennie Merritt, RDN
• Kathleen Marie Merritt, M.A.
• Nathalia Mesa, M.D.
• Mesaesthetics & Wellness LLC

• Behavior Analyst in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.