Active NPI
Alyson Dodell, MFT, BCBA
- Behavior Analyst
- Winnetka, CA
National Provider Identifier
1508366774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12151098
- Practice address
- 19725 Sherman Way Ste 380
Winnetka, CA 91306-3661 - Phone
- (310) 247-8712
- NPI assigned
- Feb 14, 2018
- Last updated
- Dec 28, 2023
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12151098 | CA | MD | Behavioral Analyst |
| 99267 | CA | MD | Marriage & 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
- Rohit Dharni
- Elijah Jesusa Dia
- Mehrnoosh Dianati, DDS
- Discovery Radiology Physicians, P.C.
- Discovery Radiology, Inc
- Tina Donaldson, RN, NP
- Dr Lees Family Chiropractic & Acupuncture Apc
- Dr. Lee's Family Chiropractic (Dr. Lee's Family Chiropractic and Acupuncture)
- Silvia L Duarte-Ayala
- Jee Jean Tolentino Dykheng, FNP-C
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.