Active NPI
Danielle Lauren Pedersen, M.A.
- Behavior Analyst
- Allen, TX
National Provider Identifier
1972880136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1613 Long Prairie CT
Allen, TX 75002-8381 - Phone
- (480) 236-5298
- NPI assigned
- Nov 15, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | 1-17-25975 | ||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1613 Long Prairie CT
Allen, TX 75002-8381
Mailing address
1613 Long Prairie CT
Allen, TX 75002-8381
Phone (480) 236-5298
Other practice location 1
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Phone (480) 236-5298
Other practice location 2
6214 24th Ave
Brooklyn, NY 11204-3319
Phone (480) 236-5298
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1972880136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 LONG PRAIRIE CT",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028381",
"telephone_number": "480-236-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 LONG PRAIRIE CT",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028381",
"telephone_number": "480-236-5298"
}
],
"practiceLocations": [
{
"address_1": "325 N Saint Paul St Ste 3100",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752013923",
"country_code": "US",
"telephone_number": "480-236-5298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6214 24th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112043319",
"country_code": "US",
"telephone_number": "480-236-5298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEDERSEN",
"first_name": "DANIELLE",
"middle_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-17-25975",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.