Individual provider Active NPI

Michelle Dean

  • Behavior Analyst
  • Lewisburg, PA
National Provider Identifier
1417748658
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH007740 Issued in PA
Practice address
900 Buffalo Rd Ste 1
Lewisburg, PA 17837-1239
Phone
(570) 523-6787
NPI assigned
May 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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 BH007740 PA Primary

Addresses

Primary practice location

900 Buffalo Rd Ste 1
Lewisburg, PA 17837-1239

Mailing address

119 S 16TH St Apt 4
Lewisburg, PA 17837-1685
Phone (570) 495-6264

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
BH007740PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Diagnostic Evaluations Resources Services Behavior Analyst CurrentSince May 18, 2025 Accepting new patients
Autism Diagnostic Evaluations Resources Services Past Accepting new patients

Locations

900 Buffalo Rd
Ste 1
Lewisburg, PA 17837
Phone (570) 523-6787

Organizations & group practices 2

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": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1417748658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S 16TH ST APT 4",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371685",
            "telephone_number": "570-495-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BUFFALO RD STE 1",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371239",
            "telephone_number": "570-523-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH007740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.