Provider Demographics
NPI:1093234700
Name:GIORDANO, DAWN MARIE I (BEHAVIOR THERAPIST)
Entity Type:Individual
Prefix:MISS
First Name:DAWN
Middle Name:MARIE
Last Name:GIORDANO
Suffix:I
Gender:F
Credentials:BEHAVIOR THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-2746
Mailing Address - Country:US
Mailing Address - Phone:413-240-8245
Mailing Address - Fax:
Practice Address - Street 1:223 SHERIDAN STREET
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020
Practice Address - Country:US
Practice Address - Phone:413-240-8245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician