Active NPI
Jenna Dehn
- Behavior Analyst
- Honolulu, HI
National Provider Identifier
1285149187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 486
- Practice address
- 1050 Lunalilo St Apt 1205
Honolulu, HI 96822-3974 - Phone
- (808) 392-4077
- NPI assigned
- Dec 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 486 | HI | Primary |
Addresses
Primary practice location
1050 Lunalilo St Apt 1205
Honolulu, HI 96822-3974
Mailing address
91-1100 Laaulu St Apt 17C
Ewa Beach, HI 96706-4355
Phone (808) 392-4077
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
| License | State | Type | Specialty |
|---|---|---|---|
| 486 | HI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1285149187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1100 LAAULU ST APT 17C",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967064355",
"telephone_number": "808-392-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 LUNALILO ST APT 1205",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968223974",
"telephone_number": "808-392-4077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHN",
"first_name": "JENNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-13",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.