Individual provider Active NPI

Dana Ann Visalli-Gold, PHD, BCBA

  • Behavior Analyst
  • Bethesda, MD
National Provider Identifier
1730382078
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA086 Issued in MD
Practice address
5272 River Rd Ste 100
Bethesda, MD 20816-1454
Phone
(301) 718-1716
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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 LBA086 MD Primary

Addresses

Primary practice location

5272 River Rd Ste 100
Bethesda, MD 20816-1454

Mailing address

7000 Oak Forest LN
Bethesda, MD 20817-2124
Phone (347) 424-5833

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LBA086MDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Beginnings, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1730382078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 OAK FOREST LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172124",
            "telephone_number": "347-424-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5272 RIVER RD STE 100",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208161454",
            "telephone_number": "301-718-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISALLI-GOLD",
        "first_name": "DANA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.