Provider Demographics
NPI:1306636717
Name:CORLEY, DAWN KIRSTEN (MBA, MSP)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:KIRSTEN
Last Name:CORLEY
Suffix:
Gender:F
Credentials:MBA, MSP
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:KIRSTEN
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 EAST ST
Mailing Address - Street 2:
Mailing Address - City:WARE
Mailing Address - State:MA
Mailing Address - Zip Code:01082-1565
Mailing Address - Country:US
Mailing Address - Phone:413-658-8738
Mailing Address - Fax:413-658-8738
Practice Address - Street 1:5 EAST ST
Practice Address - Street 2:
Practice Address - City:WARE
Practice Address - State:MA
Practice Address - Zip Code:01082-1565
Practice Address - Country:US
Practice Address - Phone:413-658-8738
Practice Address - Fax:413-658-8738
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician