Provider Demographics
NPI:1902477938
Name:MERCIER, MARYANN (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:MARYANN
Middle Name:
Last Name:MERCIER
Suffix:
Gender:
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 THE LEGENDS PKWY STE 156
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:MO
Mailing Address - Zip Code:63025-3803
Mailing Address - Country:US
Mailing Address - Phone:314-467-0677
Mailing Address - Fax:314-441-4461
Practice Address - Street 1:54 THE LEGENDS PKWY STE 156
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:MO
Practice Address - Zip Code:63025-3803
Practice Address - Country:US
Practice Address - Phone:314-775-8754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-09
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023049550103K00000X
MORBT-21-175225106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician