Individual provider Active NPI

Maud Dogoe Ankudey, BCBA-D

  • Behavior Analyst
  • Dallas, TX
National Provider Identifier
1205368354
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11410286
Practice address
1330 River Bend Dr
100
Dallas, TX 75247-6945
Phone
(469) 899-3282
NPI assigned
Mar 29, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11410286 Primary

Addresses

Primary practice location

1330 River Bend Dr
100
Dallas, TX 75247-6945

Mailing address

1345 River Bend Dr
Dallas, TX 75247-6943
Phone (913) 433-2949

Other practice location 1

1619 N Hampton Rd
DeSoto, TX 75115-2303
Phone (972) 331-6353

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shoya LLC Behavior Analyst Past Accepting new patients
Spectrum Behavioral Solutions LLC Behavior Analyst 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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205368354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752476943",
            "telephone_number": "913-433-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 RIVER BEND DR",
            "address_2": "100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752476945",
            "telephone_number": "469-899-3282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1619 N Hampton Rd",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751152303",
            "country_code": "US",
            "telephone_number": "972-331-6353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOGOE ANKUDEY",
        "first_name": "MAUD",
        "name_prefix": "Dr.",
        "credential": "BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "11410286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.