Individual provider Active NPI

Drew Mercer, M.ED., BCBA, LBA

  • Behavior Analyst
  • Temecula, CA
National Provider Identifier
1699211771
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
41769 Enterprise Cir N Ste 104
Temecula, CA 92590-5626
Phone
(951) 303-8255
NPI assigned
Jan 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

41769 Enterprise Cir N Ste 104
Temecula, CA 92590-5626

Mailing address

41769 Enterprise Cir N Ste 104
Temecula, CA 92590-5626
Phone (951) 303-8255

Other practice location 1

526 W Centre Ave
Portage, MI 49024-5306
Phone (269) 321-9556 ext. 113

Other practice location 2

3101 Magic Hollow Blvd
Virginia Beach, VA 23453-5306
Phone (757) 639-2218 ext. 1009

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
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Consulting and Therapy, LLC Behavior Analyst CurrentSince Jul 19, 2020 Accepting new patients
Prospera Healthcare Texas LLC Behavior Analyst Past Accepting new patients

Locations

3101 Magic Hollow Blvd
Virginia Beach, VA 23453
Phone (757) 639-2218

Organizations & group practices 2

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": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1699211771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41769 ENTERPRISE CIR N STE 104",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905626",
            "telephone_number": "951-303-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41769 ENTERPRISE CIR N STE 104",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905626",
            "telephone_number": "951-303-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 W Centre Ave",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490245306",
            "country_code": "US",
            "telephone_number": "269-321-9556 x113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Magic Hollow Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234535306",
            "country_code": "US",
            "telephone_number": "757-639-2218 x1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCER",
        "first_name": "DREW",
        "credential": "M.ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-12",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "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 Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.