Eric Merrell, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

5395 Issued in TX

Practice address

4003 W Stan Schlueter Loop Ste 3
Killeen, TX 76549-6120

Phone

(254) 630-1578

Fax

(254) 267-1091

NPI assigned

Oct 27, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Autism Behavior Support, LLC

  dba Mary Ayala

  • Behavior Analyst
  • Killeen, TX
  • NPI 1083244958
  NPD

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1629520440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 W STAN SCHLUETER LOOP STE 3",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496120",
            "telephone_number": "254-630-1578",
            "fax_number": "254-267-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 W STAN SCHLUETER LOOP STE 3",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496120",
            "telephone_number": "254-630-1578",
            "fax_number": "254-267-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRELL",
        "first_name": "ERIC",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-27",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-22-61694",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inyoung Luna Mendes, FNP-C
• Daphne Mendoza
• Laurel E Mendoza, MA CCC SLP
• Felisa Menendez
• Elizabeth Merrell
• Jacob Paul Merrell, DDS
• Joshua William Merrell
• Malei'a Merrill
• Robinette Merrill, LPC-ASSOCIATE
• Brianna Elizabeth Merritt

• Behavior Analyst in Killeen, TX
• Providers in Killeen, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.