Individual provider Active NPI

Eric Gormley

  • Behavior Analyst
  • Columbia, SC
National Provider Identifier
1285038828
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1901 Main St FL 18TH
Columbia, SC 29201-2443
Phone
(203) 300-3257
NPI assigned
Oct 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1901 Main St FL 18TH
Columbia, SC 29201-2443

Mailing address

378 NE Surfside Ave
Port St Lucie, FL 34983-1244
Phone (203) 300-3257

Other practice location 1

378 NE Surfside Ave
Port St Lucie, FL 34983-1244
Phone (203) 300-3257

Other practice location 2

378 NE Surfside Ave
Port St Lucie, FL 34983-1244
Phone (203) 300-3257

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
Riverside ABA Therapy Behavior Analyst Current Accepting new patients
First Light ABA LLC Behavior Analyst Current Accepting new patients
Eric Gormley LLC Behavior Analyst Current Accepting new patients

Organizations & group practices 3

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": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1285038828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 NE SURFSIDE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831244",
            "telephone_number": "203-300-3257",
            "fax_number": "772-218-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MAIN ST FL 18TH",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012443",
            "telephone_number": "203-300-3257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "378 NE Surfside Ave",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349831244",
            "country_code": "US",
            "telephone_number": "203-300-3257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "378 NE Surfside Ave",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349831244",
            "country_code": "US",
            "telephone_number": "203-300-3257",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORMLEY",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-10",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.