Jennifer Mawson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-22088

Practice address

200 Griffin Rd
Suite 5
Portsmouth, NH 03801-7145

Phone

(800) 778-5560

Fax

(800) 778-5560

NPI assigned

Oct 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Darisse Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1104100015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PLEASANT ST",
            "address_2": "APT 6",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502428",
            "telephone_number": "800-778-5560",
            "fax_number": "800-778-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRIFFIN RD",
            "address_2": "SUITE 5",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017145",
            "telephone_number": "800-778-5560",
            "fax_number": "800-778-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWSON",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-16-22088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DARISSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ayo Alexandra Matory, MD
• Naresh Matta, M.D.
• Brianna Matthews
• Johanna Mautz
• William Thomas Mautz, PHD
• Maxi Drug North Inc
• Maxi Drug North Inc
• Ken Maynard, M.D.
• Beatrice Mbaluka
• Barry F McArdle, DMD

• Behavior Analyst in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Behavior Analyst in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.