Provider Demographics
NPI:1508758335
Name:DOWSON, DYANI
Entity type:Individual
Prefix:
First Name:DYANI
Middle Name:
Last Name:DOWSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 JOHN OLDS DR APT 107
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-8776
Mailing Address - Country:US
Mailing Address - Phone:508-340-6101
Mailing Address - Fax:
Practice Address - Street 1:51 JOHN OLDS DR APT 107
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-8776
Practice Address - Country:US
Practice Address - Phone:508-340-6101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician