Active NPI
Dawn M Stewart, MS, BCBA, LBA
- Behavior Analyst
- Memphis, TN
National Provider Identifier
1891975397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0000000078
- Practice address
- 214 S Greer St
Memphis, TN 38111-3434 - Phone
- (901) 849-6433
- NPI assigned
- Nov 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | BCBA #: 1-07-3269 | TN | |
| Behavior Analyst | 103K00000X | 0000000078 | TN | Primary |
Addresses
Primary practice location
214 S Greer St
Memphis, TN 38111-3434
Mailing address
214 S Greer St
Memphis, TN 38111-3434
Phone (901) 849-6433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1509523 | Medicaid | TN |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000078 | TN | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1891975397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 S GREER ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381113434",
"telephone_number": "901-849-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 S GREER ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381113434",
"telephone_number": "901-849-6433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "DAWN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-13",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "TN",
"license": "BCBA #: 1-07-3269",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "0000000078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1509523",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.