Danielle Alyse Berenson, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1516 E Palm Valley Blvd BLDG C
Round Rock, TX 78664-4619

Phone

(512) 733-2800

NPI assigned

Feb 19, 2020

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 names 1

• Ms. Danielle Alyse Mediano 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.

• Children'S Autism Center

  • Community/Behavioral Health Agency
  • Round Rock, TX
  • NPI 1376778415
  NPD (past)
• Children'S Autism Center, LLC

  • Behavior Analyst
  • New Orleans, LA
  • NPI 1124558879
  NPD (past)

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1376176271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E PALM VALLEY BLVD BLDG C",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644619",
            "telephone_number": "512-733-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E PALM VALLEY BLVD BLDG C",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644619",
            "telephone_number": "512-733-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENSON",
        "first_name": "DANIELLE",
        "middle_name": "ALYSE",
        "name_prefix": "Mrs.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "MEDIANO",
            "middle_name": "ALYSE",
            "prefix": "MS.",
            "credential": "BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bennett J Ezekiel MD PLLC
• April Nicole Benson
• Leah Benveniste, LCDC
• Daniel Benyamin, PA-C
• Solmaz Berenji
• Bradley R. Berg, MD
• Marc George Bergeron, OD
• Anna Marie Bergquist, MD
• Senayit Berihun
• Katie Bermudez Medero

• All providers in Round Rock, TX
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.