Active NPI
Andrea Dudding
- Behavior Analyst
- Beavercreek Township, OH
National Provider Identifier
1407245137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-14-00174
- Practice address
- 608 Phillips Dr
Beavercreek Township, OH 45434-7230 - Phone
- (614) 949-9102
- NPI assigned
- Jan 19, 2015
- Last updated
- Jan 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-14-00174 | OH | Primary |
Addresses
Primary practice location
608 Phillips Dr
Beavercreek Township, OH 45434-7230
Mailing address
1209 Hill Rd N
PMB 176
Pickerington, OH 43147-8888
Phone (740) 739-3693
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-14-00174 | OH | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421625600000",
"number": "1407245137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 HILL RD N",
"address_2": "PMB 176",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431478888",
"telephone_number": "740-739-3693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 PHILLIPS DR",
"city": "BEAVERCREEK TOWNSHIP",
"state": "OH",
"postal_code": "454347230",
"telephone_number": "614-949-9102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDDING",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-19",
"last_updated": "2015-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "RBT-14-00174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beavercreek Township, OH
- Care Advantage Home Care LLC
- Cca Companies LLC
- Community Medical Specialists (Community Foot Specialists)
- Croteau Health Practice, Inc. (Suzanne Croteau, D.O.)
- Robert Thomas Daubenspeck, D.C.
- Samantha Ann Elam
- Melyssa Skye Elston, RBT
- Alan M Lafky, DPT
- Kimberly Harris Lewis, D.P.M.
- Haley McLatchey, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.