Kristyn Marie Fayyad

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

145 Faunce Corner Rd Ste K
N Dartmouth, MA 02747-1263

Phone

(774) 206-1125

NPI assigned

Dec 2, 2013

Last updated

Dec 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristyn Marie Cromidas 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": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1174954143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PAGE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232825",
            "telephone_number": "978-210-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 FAUNCE CORNER RD STE K",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471263",
            "telephone_number": "774-206-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYYAD",
        "first_name": "KRISTYN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTYN",
            "last_name": "CROMIDAS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dartmouth Manor Home Inc
• David E. Adelberg MD Inc.
• Sheila Mary Dorgan, NP
• Babak Eliassi-Rad, MD
• Eugene P Antonell (Hear Better Now, LLC)
• Benjamin D Feeley, L. AC., MAOM
• Debra A Felder, CRNA
• Laurajane Leclair Fitzsimons, M.ED, C.A.G.S., LMHC
• Ebonie Flowers
• Albert J Fox, M.D.

• Behavior Analyst in N Dartmouth, MA
• Providers in N Dartmouth, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.