Individual provider Active NPI

Dylan Albiani, BCBA

  • Behavior Analyst
  • Fresno, CA
National Provider Identifier
1790288173
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-44764 Issued in CA
Practice address
7088 N Maple Ave Ste 105
Fresno, CA 93720-0391
Phone
(818) 241-6780
Fax
(800) 819-7806
NPI assigned
Mar 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-20-44764 CA Primary

Addresses

Primary practice location

7088 N Maple Ave Ste 105
Fresno, CA 93720-0391

Mailing address

PO Box 746075
Atlanta, GA 30374-6075
Phone (818) 241-6780

Other practice location 1

5140 N Fruit Ave
Fresno, CA 93711-3022
Phone (559) 449-1059

Other identifiers 1

IdentifierTypeStateIssuer
1609199512OtherCANPI

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

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1790288173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746075",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746075",
            "telephone_number": "818-241-6780",
            "fax_number": "800-819-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7088 N MAPLE AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200391",
            "telephone_number": "818-241-6780",
            "fax_number": "800-819-7806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5140 N Fruit Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113022",
            "country_code": "US",
            "telephone_number": "559-449-1059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBIANI",
        "first_name": "DYLAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-44764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609199512",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.