Individual provider Active NPI

Daniel Scott Ferryman

  • Behavior Analyst
  • Albuquerque, NM
National Provider Identifier
1841766953
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-65745 Issued in NM
Practice address
2201 San Pedro Dr NE
Albuquerque, NM 87110-4133
Phone
(855) 772-8847
NPI assigned
Oct 16, 2018
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Behavior Analyst 103K00000X 1-23-65745 NM Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

2201 San Pedro Dr NE
Albuquerque, NM 87110-4133

Mailing address

100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602
Phone (310) 856-0800

Other practice location 1

23406 Crest Forest Dr.
Crestline, CA 92325
Phone (909) 338-4689

Other practice location 2

1650 Spruce St Ste 102
Riverside, CA 92507-7403
Phone (951) 357-6926

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": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1841766953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N PACIFIC COAST HWY STE 1400",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455602",
            "telephone_number": "310-856-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SAN PEDRO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104133",
            "telephone_number": "855-772-8847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23406 Crest Forest Dr.",
            "address_purpose": "LOCATION",
            "city": "Crestline",
            "state": "CA",
            "postal_code": "92325",
            "country_code": "US",
            "telephone_number": "909-338-4689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Spruce St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925077403",
            "country_code": "US",
            "telephone_number": "951-357-6926",
            "fax_number": "855-568-2494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRYMAN",
        "first_name": "DANIEL",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NM",
            "license": "1-23-65745",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.