Alyssa Lorene Dickerman

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11344 Coloma Rd Ste 570
Gold River, CA 95670-6304

Phone

(916) 676-0488

NPI assigned

Jan 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1598526477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 MADISON AVE UNIT 139",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956625824",
            "telephone_number": "916-871-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11344 COLOMA RD STE 570",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956706304",
            "telephone_number": "916-676-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERMAN",
        "first_name": "ALYSSA",
        "middle_name": "LORENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Ellis Cripe, D.D.S.
• D.L. Markham, DDS, MSD, Inc
• Celeste Danzi
• Amanda Deanda
• Eileen Louise Degruccio, LMFT
• Joel Joseph Dickson, D.C.
• Dignity Health Medical Foundation
• Jazzmine Renee Donley
• Dr Palmer N Lee OD Inc
• Kathleen Denise Duncan, DDS

• Behavior Technician in Gold River, CA
• Providers in Gold River, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.