Kristine D. Dickson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-8991

Practice address

12750 Ventura Blvd Ste 102
Studio City, CA 91604-2433

Phone

(323) 839-9354

Fax

(818) 423-2214

NPI assigned

Jun 21, 2011

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Nurture and Nature ABA and Consultation

  • Community/Behavioral Health Agency
  • Valley Village, CA
  • NPI 1831565795
  NPD Authorized official

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1629364336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 OTSEGO ST",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073120",
            "telephone_number": "818-613-1206",
            "fax_number": "818-423-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 VENTURA BLVD STE 102",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042433",
            "telephone_number": "323-839-9354",
            "fax_number": "818-423-2214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13030 Inglewood Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902505177",
            "country_code": "US",
            "telephone_number": "310-863-2734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5344 Laurel Canyon Blvd",
            "address_purpose": "LOCATION",
            "city": "Valley Vlg",
            "state": "CA",
            "postal_code": "916072712",
            "country_code": "US",
            "telephone_number": "818-299-2469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "KRISTINE",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-11-8991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean S Steinberger OD a Professional Corporation
• Teresa Ann Decrescenzo, MSW
• Defining Moments Psychological Corporation
• Robert Deloach, N.P.
• Aleksandra Dianova, LAC
• Ines Elena Digenio, MD
• Digix Mobile Xray
• Anthony James Dimaggio, LMFT
• Norma Diane Dimeo
• Luminita Elena Docan, LMFT

• Behavior Analyst in Studio City, CA
• Providers in Studio City, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.