Individual provider Active NPI

Jennifer N Dyar, BCABA

  • Behavior Analyst
  • Indianapolis, IN
National Provider Identifier
1124530589
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0167510 Issued in IN
Practice address
7901 E 88TH St
Indianapolis, IN 46256-1235
Phone
(317) 849-5437
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0167510 IN Primary

Addresses

Primary practice location

7901 E 88TH St
Indianapolis, IN 46256-1235

Mailing address

7901 E 88TH St
Indianapolis, IN 46256-1235
Phone (317) 849-5437

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

State licenses

LicenseStateTypeSpecialty
0167510INMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Programming Inc. PastSince Jan 12, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1124530589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 E 88TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561235",
            "telephone_number": "317-849-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 E 88TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561235",
            "telephone_number": "317-849-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYAR",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "0167510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.