Active NPI
Michael Joseph Sassin II, BCBA
- Behavior Analyst
- Middlebury, VT
National Provider Identifier
1225403256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1149947
- Practice address
- 51 Morningside Dr
Middlebury, VT 05753-1075 - Phone
- (802) 398-7428
- NPI assigned
- Dec 2, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 1149947 | Primary |
Addresses
Primary practice location
51 Morningside Dr
Middlebury, VT 05753-1075
Mailing address
51 Morningside Dr
Middlebury, VT 05753-1075
Phone (802) 398-7428
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1225403256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 MORNINGSIDE DR",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057531075",
"telephone_number": "802-398-7428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 MORNINGSIDE DR",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057531075",
"telephone_number": "802-398-7428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASSIN",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-02",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1149947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middlebury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.