Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295220051 Individual Practitioner Female Practitioner

Genevieve Adria Dussan Roldan , BCBA

Behavior Analyst • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Genevieve Dussan Roldan, BCBA is a registered healthcare professional specializing in Behavior Analyst in Bronx, NY. Practice services are available at 224 E 135TH ST APT 1905 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

224 E 135th St Apt 1905

Bronx, NY 104516489

Telephone 9177157931

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
323 Specialists

Practicing in Bronx, NY (5252 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-27
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License NY 1-25-79656

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bacb Id
BACB1036398 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location March 27, 2025

Registered at 224 E 135TH ST APT 1905, BRONX, NY 104516489 (Tel: 9177157931)

📍
Updated Business Mailing Address March 27, 2025

Registered at 224 E 135TH ST APT 1905, BRONX, NY 104516489 (Tel: 9177157931)

👤
Provider Name / Credentials Updated March 27, 2025

Recorded as GENEVIEVE DUSSAN ROLDAN, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2025

Behavior Analyst (License #1-25-79656 in NY)

📍
Updated Practice Location June 05, 2023

Registered at 326 E 84TH ST APT 3C, NEW YORK, NY 100284486 (Tel: 5038800106)

📍
Updated Business Mailing Address June 05, 2023

Registered at 326 E 84TH ST APT 3C, NEW YORK, NY 100284486 (Tel: 5038800106)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2018

Behavior Technician

NPI Profile Active June 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2018

Registered at 3995 MARCOLA RD, SPRINGFIELD, OR 974777948 (Tel: 5417261465)

📍
Updated Business Mailing Address June 25, 2018

Registered at 3995 MARCOLA RD, SPRINGFIELD, OR 974777948 (Tel: 5417261465)

👤
Provider Name / Credentials Updated June 25, 2018

Recorded as GENEVIEVE TORRICELLI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2018

Behavior Analyst

🟢
Initial NPI Registration & Enumeration June 25, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1295220051
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2018
Last Update: March 27, 2025
Sole Proprietor: Yes

Mailing Address

224 E 135th St Apt 1905

Bronx, NY 104516489

Phone: 9177157931

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.