Individual provider Active NPI

Ally Elayne Hudson, BCBA

  • Behavior Analyst
  • Westminster, CO
National Provider Identifier
1336651553
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-55958 Issued in FL
Practice address
9053 Harlan St Ste 90
Westminster, CO 80031-2908
Phone
(888) 754-0398
Fax
(954) 982-6491
NPI assigned
Oct 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X FL
Behavior Analyst 103K00000X 1-21-55958 FL Primary

Addresses

Primary practice location

9053 Harlan St Ste 90
Westminster, CO 80031-2908

Mailing address

3528 Veradale Ave
Orlando, FL 32806-7470

Other practice location 1

3528 Veradale Ave
Orlando, FL 32806-7470
Phone (321) 276-9318

Other practice location 2

907 Outer Rd
Orlando, FL 32814-6601
Phone (407) 217-1401

Other identifiers 1

IdentifierTypeStateIssuer
1336651553MedicaidFL

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
Action Behavior Centers, LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1336651553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 VERADALE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328067470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9053 HARLAN ST STE 90",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312908",
            "telephone_number": "888-754-0398",
            "fax_number": "954-982-6491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3528 Veradale Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328067470",
            "country_code": "US",
            "telephone_number": "321-276-9318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "907 Outer Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328146601",
            "country_code": "US",
            "telephone_number": "407-217-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ALLY",
        "middle_name": "ELAYNE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-55958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336651553",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.