Active NPI
Ally Elayne Hudson, BCBA
- Behavior Analyst
- Westminster, CO
National Provider Identifier
1336651553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-55958
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336651553 | Medicaid | FL |
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
| Organization | Specialty | Status | New 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.
-
- Behavior Analyst
- Denver, CO
- NPI 1265191910
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.