Active NPI
Trina Sarah Dizon, MA, BCBA
- Behavior Analyst
- Cromwell, CT
National Provider Identifier
1477919371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-08-4750
- Practice address
- 110 Court St Ste 3
Cromwell, CT 06416-1273 - Phone
- (860) 613-9930
- NPI assigned
- Jan 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-08-4750 | CT | Primary |
Addresses
Primary practice location
110 Court St Ste 3
Cromwell, CT 06416-1273
Mailing address
110 Court St Ste 3
Cromwell, CT 06416-1273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223 | Other | CT | STATE OF CONNECTICUT DEPARTMENT OF PUBLIC EHEALTH |
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Education Assessment Consultation Services | Current | Accepting new patients | |
| Aspire Living & Learning | Past | Accepting new patients |
Locations
110 Court St
Ste 3
Cromwell, CT 06416
Phone (860) 281-6271
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Cromwell, CT
- NPI 1932440617
-
- Community/Behavioral Health Agency
- Meriden, CT
- NPI 1679985501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1477919371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 COURT ST STE 3",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064161273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 COURT ST STE 3",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064161273",
"telephone_number": "860-613-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIZON",
"first_name": "TRINA SARAH",
"name_prefix": "Mrs.",
"credential": "MA, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-07",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1-08-4750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CONNECTICUT DEPARTMENT OF PUBLIC EHEALTH",
"identifier": "223",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.