Active NPI
Dylan Jakob Lisnow
- Behavior Analyst
- King of Prussia, PA
National Provider Identifier
1487501862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 170 N Henderson Rd Ste 200
King of Prussia, PA 19406-4422 - Phone
- (856) 346-0005
- NPI assigned
- Mar 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | PA | Primary |
Addresses
Primary practice location
170 N Henderson Rd Ste 200
King of Prussia, PA 19406-4422
Mailing address
315 S Walnut St Apt 5
West Chester, PA 19382-3776
Phone (610) 730-4336
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CNNH Therapy LLC | Behavior Analyst | Past | 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": "1773360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1487501862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S WALNUT ST APT 5",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193823776",
"telephone_number": "610-730-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 N HENDERSON RD STE 200",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064422",
"telephone_number": "856-346-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISNOW",
"first_name": "DYLAN",
"middle_name": "JAKOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-13",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.