Active NPI
Dylan Huff, BCBA
- Behavior Analyst
- Avondale, AZ
National Provider Identifier
1902345820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 267
- Practice address
- 10320 W McDowell Rd
Suite E5013
Avondale, AZ 85392-4863 - Phone
- (855) 223-7123
- NPI assigned
- Feb 13, 2017
- Sex
- Male
- 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 Analyst | 103K00000X | 267 | AZ | Primary |
Addresses
Primary practice location
10320 W McDowell Rd
Suite E5013
Avondale, AZ 85392-4863
Mailing address
10320 W McDowell Rd
Suite E5013
Avondale, AZ 85392-4863
Phone (855) 223-7123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-16-24161 | Other | BACB |
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 |
|---|---|---|---|
| 267 | AZ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventure ABA, LLC | Behavior Analyst | Current | Accepting new patients |
| Adventure Speech Therapy, LLC | Current | 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.
-
- Speech-Language Pathologist
- Phoenix, AZ
- NPI 1770129942
-
- Behavior Analyst
- Glendale, AZ
- NPI 1588178149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1902345820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10320 W MCDOWELL RD",
"address_2": "SUITE E5013",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924863",
"telephone_number": "855-223-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10320 W MCDOWELL RD",
"address_2": "SUITE E5013",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924863",
"telephone_number": "855-223-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFF",
"first_name": "DYLAN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-13",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-16-24161",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.