Aubry Dawn Dodge, M.S., B.C.B.A.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7887 Issued in MI

Practice address

3300 Dexter Rd
Ann Arbor, MI 48103-2768

Phone

(734) 277-7072

Fax

(734) 929-4937

NPI assigned

Mar 31, 2011

Last updated

Mar 31, 2011By the provider in NPPES

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

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kaleidoscope Behavioral Services, LLC

  • Behavior Analyst
  • Ypsilanti, MI
  • NPI 1922971688
  NPD Authorized official

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1760771646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 DEXTER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 DEXTER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032768",
            "telephone_number": "734-277-7072",
            "fax_number": "734-929-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "AUBRY",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "M.S., B.C.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-10-7887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irina Yurievna Dobrosotskaya, MD
• Malinda D Dobyne, MSW
• Charlotte Elizabeth Dodd
• Cydney Shardea Dodd
• Michele Marie Dodds
• Cara Dodge, DPT
• Jessica Dodge, PHD, LLMSW, MPH
• Joseph Dodson, OT
• Laura Ann Dodson, RN
• Rebecca Doede, DO

• Behavior Analyst in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.