Active NPI
Dylen Merrell
- Behavior Analyst
- Ardmore, OK
National Provider Identifier
1407423940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-61456
- Practice address
- 1301 Kiowa St
Ardmore, OK 73401-2280 - Phone
- (580) 670-3117
- NPI assigned
- Jun 4, 2021
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 1-22-61456 | OK | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
1301 Kiowa St
Ardmore, OK 73401-2280
Mailing address
41247 Highway 29
Wynnewood, OK 73098-9116
Phone (580) 798-6842
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1407423940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41247 HIGHWAY 29",
"city": "WYNNEWOOD",
"state": "OK",
"postal_code": "730989116",
"telephone_number": "580-798-6842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 KIOWA ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012280",
"telephone_number": "580-670-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRELL",
"first_name": "DYLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-04",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "1-22-61456",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.