Active NPI
Alexandra Dorman
- Behavior Technician
- San Diego, CA
National Provider Identifier
1811582851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 21-155043
- Practice address
- 2667 Camino del Rio S Ste 102
San Diego, CA 92108-3763 - Phone
- (619) 782-0700
- NPI assigned
- Mar 2, 2021
- Last updated
- Feb 23, 2023
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | 21-155043 | TX | Primary |
Addresses
Primary practice location
2667 Camino del Rio S Ste 102
San Diego, CA 92108-3763
Mailing address
6506 Friars Rd Apt 205
San Diego, CA 92108-1089
Phone (281) 732-9169
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-155043 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cole ABA Solutions, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1811582851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6506 FRIARS RD APT 205",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081089",
"telephone_number": "281-732-9169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2667 CAMINO DEL RIO S STE 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083763",
"telephone_number": "619-782-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORMAN",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "21-155043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.