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Kristine D. Dickson , BCBA

Behavior Analyst β€’ Studio City, CA

Active NPI 1629364336 Individual Practitioner Female Practitioner
Practice location in NPPES

12750 Ventura Blvd Ste 102
Studio City, CA 916042433

Call 3238399354 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12750 Ventura Blvd Ste 102

Studio City, CA 916042433

Telephone 3238399354
Fax 8184232214
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Hawthorne, CA; Valley Vlg, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Studio City and California

53 active clinicians are listed under Behavior Analyst with a practice address in Studio City, CA (20,622 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Studio City

0% of these 53 clinicians have the CMS telehealth indicator.

0% of these 53 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-24
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES None 1-11-8991

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

5344 Laurel Canyon Blvd

Valley Vlg, CA 916072712

Phone: 8182992469

13030 Inglewood Ave Ste 104

Hawthorne, CA 902505177

Phone: 3108632734

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 24, 2022

Registered at 12750 VENTURA BLVD STE 102, STUDIO CITY, CA 916042433 (Tel: 3238399354)

πŸ“
Updated Business Mailing Address August 24, 2022

Registered at 12040 OTSEGO ST, VALLEY VILLAGE, CA 916073120 (Tel: 8186131206)

🏒
Secondary Practice Location Registered August 24, 2022

Additional practice office at 5344 Laurel Canyon Blvd, Valley Vlg, CA 916072712

🏒
Secondary Practice Location Registered August 24, 2022

Additional practice office at 13030 Inglewood Ave Ste 104, Hawthorne, CA 902505177

βœ…
NPI Profile Active May 06, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 06, 2015

Registered at 5318 LAUREL CANYON BLVD STE 101, VALLEY VILLAGE, CA 916074928 (Tel: 8184232215)

πŸ“
Business Mailing Address (Initial Record) May 06, 2015

Registered at 5318 LAUREL CANYON BLVD STE 101, VALLEY VILLAGE, CA 916074928 (Tel: 8184232215)

πŸ‘€
Provider Name / Credentials (Initial Record) May 06, 2015

Recorded as KRISTINE DICKSON, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2015

Behavior Analyst (license number reported to NPPES: None 1-11-8991)

🟒
Initial NPI Registration & Enumeration June 21, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629364336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2011
Last Update: August 24, 2022
Sole Proprietor: Yes

Mailing Address

12040 Otsego St

Valley Village, CA 916073120

Phone: 8186131206

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.