Taryn Dolan

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

3002 Issued in MA

Practice address

2301 Crownpoint Executive Dr Ste E
Charlotte, NC 28227-6725

Phone

(980) 785-1113

NPI assigned

May 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1558828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1245897156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CROWNPOINT EXECUTIVE DR STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CROWNPOINT EXECUTIVE DR STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276725",
            "telephone_number": "980-785-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Fortune Blvd",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MA",
            "postal_code": "017571750",
            "country_code": "US",
            "telephone_number": "508-478-0207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "TARYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-26",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "3002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Nancy Dodsworth, MSC (HONS), RDN, LDN
• Joseph James Doerger, M.D.
• Chrystal Lake Dogan, PT, DPT
• Dogwood Counseling PLLC
• Eric Robert Dolan, PA-C
• Rachel Dolhun, MD
• Rajdeepsinh Narendrasinh Dolia, DMD
• Christopher Ray Dollar, PT
• James Dwayne Dollar, M.D.
• Helen J Dolloff, COTA/L

• Behavior Analyst in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.