Active NPI
Jennifer Dawid, BCBA
- Behavior Analyst
- Windsor, CT
National Provider Identifier
1235626136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-21558
- Practice address
- 835 Bloomfield Ave
Windsor, CT 06095-2363 - Phone
- (860) 413-9538
- NPI assigned
- Apr 16, 2018
- Sex
- Female
- 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 | 1-16-21558 | CT | Primary |
Addresses
Primary practice location
835 Bloomfield Ave
Windsor, CT 06095-2363
Mailing address
1800 Silas Deane Hwy Apt 347S
Rocky Hill, CT 06067-1397
Phone (860) 478-8828
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": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1235626136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 SILAS DEANE HWY APT 347S",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060671397",
"telephone_number": "860-478-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 BLOOMFIELD AVE",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952363",
"telephone_number": "860-413-9538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWID",
"first_name": "JENNIFER",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-16",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1-16-21558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.