Active NPI
Xin Dong, BCBA
- Behavior Analyst
- Katy, TX
National Provider Identifier
1598388597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3352
- Practice address
- 633 E Fernhurst Dr Ste 801
Katy, TX 77450-1587 - Phone
- (979) 627-8138
- NPI assigned
- May 26, 2020
- Last updated
- May 26, 2020
- 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 | 3352 | TX | Primary |
Addresses
Primary practice location
633 E Fernhurst Dr Ste 801
Katy, TX 77450-1587
Mailing address
1501 Harvey Rd Apt 534
College Station, TX 77840-6738
Phone (979) 213-3246
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 |
|---|---|---|---|
| 3352 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1598388597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 HARVEY RD APT 534",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778406738",
"telephone_number": "979-213-3246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 E FERNHURST DR STE 801",
"city": "KATY",
"state": "TX",
"postal_code": "774501587",
"telephone_number": "979-627-8138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONG",
"first_name": "XIN",
"name_prefix": "Dr.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-26",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "3352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.