Individual provider Active NPI

Terri Dreeszen, BCBA

  • Behavior Analyst
  • Anchorage, AK
National Provider Identifier
1255897955
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
142472 Issued in AK
Practice address
2836 Kimberlie CT
Anchorage, AK 99508-5329
Phone
(907) 349-4222
Fax
(907) 349-4223
NPI assigned
Feb 18, 2019
Last updated
Feb 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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 142472 AK Primary

Addresses

Primary practice location

2836 Kimberlie CT
Anchorage, AK 99508-5329

Mailing address

2836 Kimberlie CT
Anchorage, AK 99508-5329
Phone (907) 349-4222

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

State licenses

LicenseStateTypeSpecialty
142472AKMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Early Learning for Everyone Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1255897955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 KIMBERLIE CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085329",
            "telephone_number": "907-349-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 KIMBERLIE CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085329",
            "telephone_number": "907-349-4222",
            "fax_number": "907-349-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREESZEN",
        "first_name": "TERRI",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AK",
            "license": "142472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.