Dawn Fittipaldi, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-8446

Practice address

62 Broad St
Matawan, NJ 07747-2534

Phone

(732) 765-8500

NPI assigned

Aug 18, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Our Special Place, Inc.

  • Community/Behavioral Health Agency
  • Matawan, NJ
  • NPI 1154788057
  NPD (past) Authorized official

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1245785336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BROAD ST",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472534",
            "telephone_number": "732-765-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 BROAD ST",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472534",
            "telephone_number": "732-765-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITTIPALDI",
        "first_name": "DAWN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-11-8446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Fields
• Raquel Figueroa
• Andrew Charles Fink, DPT, CSCS
• Amy J Fischetti, M.S. CCC-SLP
• Valerie Fiske, OTR
• Megan Fitzgerald
• Barbara Fleischer, PHD
• Flexmindtherapy
• Joan Flores-Icarangal, DNP,APN
• Cortney Flynn-Kramer, RDN

• Behavior Analyst in Matawan, NJ
• Providers in Matawan, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.