Active NPI
Danalyn Holdredge, MA, BCBA, LBA
- Behavior Analyst
- Greenville, RI
National Provider Identifier
1740743665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-35671
- Practice address
- 715 Putnam Pike
Greenville, RI 02828-1428 - Phone
- (401) 618-6991
- NPI assigned
- Apr 8, 2019
- Last updated
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-19-35671 | RI | Primary |
Addresses
Primary practice location
715 Putnam Pike
Greenville, RI 02828-1428
Mailing address
715 Putnam Pike
Greenville, RI 02828-1428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MO96606 | Medicaid | RI |
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1740743665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 PUTNAM PIKE",
"city": "GREENVILLE",
"state": "RI",
"postal_code": "028281428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 PUTNAM PIKE",
"city": "GREENVILLE",
"state": "RI",
"postal_code": "028281428",
"telephone_number": "401-618-6991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDREDGE",
"first_name": "DANALYN",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "RI",
"license": "1-19-35671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MO96606",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.