Individual provider Active NPI

Alyson Dodell, MFT, BCBA

  • Behavior Analyst
  • Winnetka, CA
National Provider Identifier
1508366774
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12151098 Issued in CA
Practice address
19725 Sherman Way Ste 380
Winnetka, CA 91306-3661
Phone
(310) 247-8712
NPI assigned
Feb 14, 2018
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 99267 CA
Behavior Analyst 103K00000X 12151098 CA Primary

Addresses

Primary practice location

19725 Sherman Way Ste 380
Winnetka, CA 91306-3661

Mailing address

28958 Medea Mesa Rd
Agoura, CA 91301-2745
Phone (818) 398-9132

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

LicenseStateTypeSpecialty
12151098CAMDBehavioral Analyst
99267CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1508366774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28958 MEDEA MESA RD",
            "city": "AGOURA",
            "state": "CA",
            "postal_code": "913012745",
            "telephone_number": "818-398-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19725 SHERMAN WAY STE 380",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063661",
            "telephone_number": "310-247-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODELL",
        "first_name": "ALYSON",
        "credential": "MFT, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99267",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "12151098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.