Individual provider Active NPI

Alissa Diana Doyle, BCBA

  • Behavior Analyst
  • Deerfield Beach, FL
National Provider Identifier
1568077832
Registry record updated Sep 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1239 E Newport Center Dr Ste 101
Deerfield Beach, FL 33442-7711
Phone
(754) 444-3707
NPI assigned
Sep 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2020

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 Primary

Addresses

Primary practice location

1239 E Newport Center Dr Ste 101
Deerfield Beach, FL 33442-7711

Mailing address

173 SE 5TH Ave Apt 5
Delray Beach, FL 33483-5265
Phone (862) 400-0973

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
My Favorite Therapists, LLC Behavior Analyst CurrentSince Oct 19, 2020 Accepting new patients
Mod Behavior ABA, LLC Behavior Analyst Past Accepting new patients
Beyond ABA Inc Behavior Analyst Past Accepting new patients

Locations

1239 E Newport Center Dr
Ste 101
Deerfield Beach, FL 33442
Phone (754) 341-2745

2050 Vista Pkwy
West Palm Beach, FL 33411
Phone (561) 369-6372

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1568077832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 SE 5TH AVE APT 5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835265",
            "telephone_number": "862-400-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 E NEWPORT CENTER DR STE 101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427711",
            "telephone_number": "754-444-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "ALISSA",
        "middle_name": "DIANA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; 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.