Active NPI
Elyssa Pettepit Dorsey, BCBA, LABA
- Behavior Analyst
- Hanson, MA
National Provider Identifier
1174250419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 179
- Practice address
- 116 Helen Dr
Hanson, MA 02341-1207 - Phone
- (781) 924-1408
- Fax
- (781) 924-3293
- NPI assigned
- Aug 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 179 | MA | Primary |
Addresses
Primary practice location
116 Helen Dr
Hanson, MA 02341-1207
Mailing address
40 Watercourse PL
Plymouth, MA 02360-3626
Phone (508) 254-0692
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 |
|---|---|---|---|
| 179 | MA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1174250419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WATERCOURSE PL",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023603626",
"telephone_number": "508-254-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 HELEN DR",
"city": "HANSON",
"state": "MA",
"postal_code": "023411207",
"telephone_number": "781-924-1408",
"fax_number": "781-924-3293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "ELYSSA",
"middle_name": "PETTEPIT",
"credential": "BCBA, LABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-05",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanson, MA
- Cynthia Cookson, RRT AEC
- Erin M Cox, MS, ACNS-BC, CCRN
- CVS Pharmacy Inc (CVS Pharmacy # 01249)
- Elicia Deparolesa, PHARMD
- Teresa Devlin, MSW, LICSW
- Jamie Edgerly
- Family Dental and Implant Center PC (Hanson Family Dental)
- Michelle Frawley
- Emily Elizabeth Fredrickson, RN, CPNP-PC
- Alison Tracey Freeman, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.