Individual provider Active NPI

Dahlia Coenen, BCABA, MA

  • Assistant Behavior Analyst
  • Santa Ana, CA
National Provider Identifier
1063835858
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-13-5746 Issued in OR
Practice address
1901 Carnegie Ave Ste 1C
Santa Ana, CA 92705-5504
Phone
(800) 273-4292
Fax
(949) 253-4627
NPI assigned
Jan 29, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-13-5746 CA
Assistant Behavior Analyst 106E00000X 0-13-5746 OR Primary

Addresses

Primary practice location

1901 Carnegie Ave Ste 1C
Santa Ana, CA 92705-5504

Mailing address

1901 Carnegie Ave Ste 1C
Santa Ana, CA 92705-5504
Phone (800) 273-4292

Other practice location 1

5729 Sonoma Dr Ste F
Pleasanton, CA 94566-7782
Phone (925) 462-2281

Other names 1

  • Vittoria Paige Former name

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 Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Footprints Behavioral Interventions, Inc. Assistant Behavior Analyst PastSince Aug 2, 2020 Accepting new patients
Quality Behavioral Outcomes, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063835858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CARNEGIE AVE STE 1C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055504",
            "telephone_number": "800-273-4292",
            "fax_number": "949-253-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CARNEGIE AVE STE 1C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055504",
            "telephone_number": "800-273-4292",
            "fax_number": "949-253-4627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5729 Sonoma Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945667782",
            "country_code": "US",
            "telephone_number": "925-462-2281",
            "fax_number": "925-462-0439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COENEN",
        "first_name": "DAHLIA",
        "credential": "BCABA, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "0-13-5746",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "OR",
            "license": "0-13-5746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VITTORIA",
            "last_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.