Individual provider Active NPI

Vanessa W Dong

  • Behavior Analyst
  • Los Angeles, CA
National Provider Identifier
1467802876
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-38070 Issued in CA
Practice address
6701 W 88TH St
Los Angeles, CA 90045-3732
Phone
(714) 834-1111
NPI assigned
Jun 16, 2016
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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 1-19-38070 CA Primary

Addresses

Primary practice location

6701 W 88TH St
Los Angeles, CA 90045-3732

Mailing address

6701 W 88TH St
Los Angeles, CA 90045-3732
Phone (714) 834-1111

Other practice location 1

4221 Wilshire Blvd Ste 300
Los Angeles, CA 90010-3512
Phone (323) 866-1880

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
Intercare Therapy, Inc. Behavior Analyst CurrentSince Dec 8, 2024 Accepting new patients
Intercare Therapy Inc. PastSince Mar 1, 2020 Accepting new patients
Goals for Autism, Inc. Behavior Analyst Past Accepting new patients

Locations

4221 Wilshire Blvd
Ste 300
Los Angeles, CA 90010
Phone (323) 556-3048

Organizations & group practices 3

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1467802876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 W 88TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453732",
            "telephone_number": "714-834-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 W 88TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453732",
            "telephone_number": "714-834-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4221 Wilshire Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900103512",
            "country_code": "US",
            "telephone_number": "323-866-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONG",
        "first_name": "VANESSA",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-38070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.