Danielle Mulder, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-29804 Issued in TX

Practice address

701 Glencrest LN Ste a
Longview, TX 75601-5145

Phone

(430) 625-7905

Fax

(430) 625-7906

NPI assigned

Mar 29, 2018

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

Other identifiers 1

Other names 1

• Danielle Skipper Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Action Behavior Centers, LLC

  • Behavior Analyst
  • Broomfield, CO
  • NPI 1255003943
  NPD (past)
• Monarch Behavioral Therapy Bii, LLC

  dba Behavioral Innovations

  • Behavior Analyst
  • Columbia, MD
  • NPI 1043456296
  NPD (past)

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1205331204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PREMIER DR STE 234",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632693",
            "telephone_number": "972-756-1222",
            "fax_number": "469-374-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GLENCREST LN STE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015145",
            "telephone_number": "430-625-7905",
            "fax_number": "430-625-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDER",
        "first_name": "DANIELLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-18-29804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-18-29804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "SKIPPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Josiah Moulton, D.O.
• MPL Inc (Medical and Pathology Lab)
• Alfred Mudoh
• Edith Mudoh
• Joel Thomas Muirhead, M. D.
• Kacee Mullikin
• Ana Paula G. Mumy, SLPD, CCC-SLP
• James Alan Muns, MD
• Kenzie Murphy, MD
• Rucker Stephen Murry, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.