Mitchell Ryan Dohm

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

21-176093 Issued in FL

Practice address

7594 W Sand Lake Rd
Orlando, FL 32819-5188

Phone

(800) 875-1871

Fax

(800) 875-1871

NPI assigned

Mar 23, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• ABA Healthcare, Inc.

  • Behavior Analyst
  • Orlando, FL
  • NPI 1073007472
  NPD (past)

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1891444055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11983 TAMIAMI TRL N # 121",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101603",
            "telephone_number": "800-875-1871",
            "fax_number": "800-875-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7594 W SAND LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195188",
            "telephone_number": "800-875-1871",
            "fax_number": "800-875-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHM",
        "first_name": "MITCHELL",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "21-176093",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "21-176093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah M Dodson, LCSW
• Trissa Dodson, LMHC-QS, LCPC, ATR
• Zachary William Dodson, LMHC
• Tasha Doerr
• Carolyn Ruth Doherty, LCSW
• Aida I Dohnert
• Stephanie Doke, PTA
• Melissa Dolan, RDN, LD/N
• Nicholas Alexander Dolan, PA
• Melissa Dole, PSYD.

• Assistant Behavior Analyst in Orlando, FL
• Providers in Orlando, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.