CAITLIN DUSSAN (NPI# 1649623950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649623950 |
| Entity Type | Individual |
| Full Name | CAITLIN DUSSAN |
| Credential | BCBA |
| Practice Address |
162 West St Building 2, Suite F Cromwell CT 06416-4404 |
| Practice Telephone | 8606139930 |
| Practice Fax Number | 8606139952 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
162 WEST ST BUILDING 2, SUITE F |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043310063 | Doreen Pereira Reis | Social Worker | 162 West St, Cromwell, CT 06416-4404 | 2006-09-22 |
| 1205482817 | Tracy Lynn Guest | Developmental Therapist | 162 West St, Building 2 Suite F, Cromwell, CT 06416-4404 | 2019-08-11 |
| 1477105880 | Gillian Galante | Developmental Therapist | 162 West St, Cromwell, CT 06416-4404 | 2019-07-15 |
| 1679139950 | Connor Daniel Johnson | Developmental Therapist | 162 West St, Cromwell, CT 06416-4404 | 2019-05-13 |
| 1194209411 | Emily Mae Deters | Developmental Therapist | 162 West St, Building 2 Suite F, Cromwell, CT 06416 | 2018-09-21 |
| 1942702006 | Matthew Carl Allen | Developmental Therapist | 162 West St, Cromwell, CT 06416-4404 | 2018-03-05 |
| 1861910952 | Kaitlyn Clancy | Developmental Therapist | 162 West St, Cromwell, CT 06416-4404 | 2017-09-08 |
| 1467970699 | Annaliese Airam Castro | Developmental Therapist | 162 West St, Cromwell, CT 06416-4404 | 2017-09-08 |
| 1972028017 | Lauren Edwards | Developmental Therapist | 162 West St, Cromwell, CT 06416-4404 | 2017-08-10 |
| 1457897696 | Breianna Reid | Behavioral Analyst | 162 West St, Building 2, Suite F, Cromwell, CT 06416-4404 | 2017-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356997068 | Allison Bridget Curran | Behavioral Analyst | 51 Midway Dr, Cromwell, CT 06416-2556 | 2019-08-18 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1790284917 | Rachel A Kent | Behavioral Analyst | 5 Shanley Ct, Cromwell, CT 06416-1606 | 2018-02-02 |
| 1538684006 | Kaylee Danielle Parker | Behavioral Analyst | 162 West St Bldg 2, Cromwell, CT 06416-4404 | 2017-08-07 |
| 1235582230 | Andrew Moyer | Behavioral Analyst | 34-3 Shunpike Rd, #196, Cromwell, CT 06416-2490 | 2016-07-14 |
| 1043579451 | Rebecca Ripley | Behavioral Analyst | 162 West St Ste F, Cromwell, CT 06416-4405 | 2012-05-07 |
| 1780216234 | Ashley Nicole Ainsworth | Behavioral Analyst | 60 Hicksville Rd, Cromwell, CT 06416-2409 | 2020-02-12 |
| 1912537051 | Breonna Mabry | Behavioral Analyst | 162 West St Ste F, Cromwell, CT 06416-4405 | 2020-01-16 |
| 1104468693 | Kayla Marie Bellanca | Behavioral Analyst | 162 West St Ste F, Cromwell, CT 06416-4405 | 2019-10-16 |
| 1063077121 | Janice Fetta | Behavioral Analyst | 162 West St Ste F, Cromwell, CT 06416-4405 | 2019-05-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.