Individual provider Active NPI

Dawn M Norris, BCBA

  • Behavior Analyst
  • East Hartford, CT
National Provider Identifier
1356017578
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA.001256 Issued in CT
Practice address
144 Main St Ste G
East Hartford, CT 06118-3239
Phone
(888) 754-0398
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA.001256 CT Primary

Addresses

Primary practice location

144 Main St Ste G
East Hartford, CT 06118-3239

Mailing address

38 Stevens PL
Rocky Hill, CT 06067-3211
Phone (860) 214-5594

Other practice location 1

77 Hartland St Ste 108
East Hartford, CT 06108-3259
Phone (888) 754-0398 ext. 1028

Other identifiers 1

IdentifierTypeStateIssuer
008067597MedicaidCT

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

State licenses

LicenseStateTypeSpecialty
BA.001256CTMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1356017578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 STEVENS PL",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673211",
            "telephone_number": "860-214-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MAIN ST STE G",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061183239",
            "telephone_number": "888-754-0398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Hartland St Ste 108",
            "address_purpose": "LOCATION",
            "city": "East Hartford",
            "state": "CT",
            "postal_code": "061083259",
            "country_code": "US",
            "telephone_number": "888-754-0398 x1028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "BA.001256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008067597",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.