Active NPI
Dylan Dongird, M.S.
- Behavior Analyst
- Garden Grove, CA
National Provider Identifier
1669938965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-35729
- Practice address
- 12465 Lewis St Ste 102
Garden Grove, CA 92840-4658 - Phone
- (855) 223-7123
- NPI assigned
- Feb 12, 2019
- Sex
- Male
- 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 | 1-19-35729 | CA | Primary |
Addresses
Primary practice location
12465 Lewis St Ste 102
Garden Grove, CA 92840-4658
Mailing address
12443 Lewis St Ste 201
Garden Grove, CA 92840-4650
Phone (714) 748-4440
Other practice location 1
12443 Lewis St Ste 201
Garden Grove, CA 92840-4650
Phone (714) 748-4440
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1669938965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12443 LEWIS ST STE 201",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404650",
"telephone_number": "714-748-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12465 LEWIS ST STE 102",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404658",
"telephone_number": "855-223-7123"
}
],
"practiceLocations": [
{
"address_1": "12443 Lewis St Ste 201",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928404650",
"country_code": "US",
"telephone_number": "714-748-4440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONGIRD",
"first_name": "DYLAN",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-12",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-19-35729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.