Individual provider Active NPI

Dane Thoreson

  • Behavior Analyst
  • Encino, CA
National Provider Identifier
1811522931
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
16030 Ventura Blvd Ste 300
Encino, CA 91436-2754
Phone
(310) 933-4499
NPI assigned
Mar 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 Primary

Addresses

Primary practice location

16030 Ventura Blvd Ste 300
Encino, CA 91436-2754

Mailing address

207 E Seaside Way Apt 519
Long Beach, CA 90802-6256
Phone (323) 898-1026

Other practice location 1

350C Harvey Rd
Manchester, NH 03103-3347
Phone (603) 609-7600

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dane.thoreson@ctlc.com Direct Center for Thoughtful Lasting Change INC
Direct Messaging Address dthoreson@blnautism.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Learning Network - New Hampshire LLC Behavior Analyst PastSince Mar 24, 2025 Accepting new patients
Behavioral Learning Network LLC Behavior Analyst PastSince Mar 24, 2025 Accepting new patients

Organizations & group practices 2

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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1811522931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E SEASIDE WAY APT 519",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908026256",
            "telephone_number": "323-898-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 VENTURA BLVD STE 300",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362754",
            "telephone_number": "310-933-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350C Harvey Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031033347",
            "country_code": "US",
            "telephone_number": "603-609-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORESON",
        "first_name": "DANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-09",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dane.thoreson@ctlc.com",
            "affiliation": "Y",
            "endpointDescription": "encrypted email",
            "affiliationName": "Center for Thoughtful Lasting Change INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9606 Tierra Grande St Ste 201",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921266501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dthoreson@blnautism.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16030 Ventura Blvd Ste 300",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914362754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.