Reagan Koury Merriman, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

L-540 Issued in LA

Practice address

1416 Metro Dr
Alexandria, LA 71301-3424

Phone

(318) 319-7273

NPI assigned

Jun 21, 2021

Last updated

Jun 21, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Masterminds Pediatric Therapy LLC

  dba Masterminds Pediatric Therapy

  • Behavior Analyst
  • Simpson, LA
  • NPI 1255022190
  NPD Authorized official

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1417526872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 METRO DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013424",
            "telephone_number": "318-319-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 METRO DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013424",
            "telephone_number": "318-319-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "REAGAN",
        "middle_name": "KOURY",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "livinghopeabatherapy@lhttherapy.com",
            "affiliation": "Y",
            "affiliationName": "Living Hope ABA Therapy, Inc (A Professional Corporation)",
            "address_1": "1416 Metro Dr",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713013424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Merakey Pennsylvania
• Merakey Pennsylvania
• Charles Mercer, APRN, FNP-C
• Jason Mercer
• Morgan Merrell
• Jess Meshell
• Morgan Messori, BSW, MHS
• Laquilla Metoyer
• Metro Ambulance Service (Rural), Inc. (Amr)
• Meyer Kaplan, MD, Apmc

• Behavior Analyst in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.