Dawn M Petrie, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

417 NE Armory Cir
Port St Lucie, FL 34983-1738

Phone

(772) 607-4035

NPI assigned

Jul 14, 2011

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

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1548558380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 NE ARMORY CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 NE ARMORY CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831738",
            "telephone_number": "772-607-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ganielle Marva Peterson, ASSISTED LIVING ADMN
• Samantha Michelle Peterson, A.R.N.P.
• William Winston Leonard Peterson III, D.C.
• Rosemita Petion
• Julienne Petit Frere
• Matthew W Petrovic, D.C.
• Christopher Lawrence Petterson, D.D.S.
• Shalita Pettway
• Lisa Karen Pezzullo, CRTT
• Elisabeth E. Pfirrmann, MSW

• Behavior Analyst in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.