Active NPI
Tenisa Turnbaugh, BCBA
- Behavior Analyst
- Lyndonville, VT
National Provider Identifier
1578993010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0125076
- Practice address
- 2335 Peak Rd
Lyndonville, VT 05851-9546 - Phone
- (203) 233-5497
- Fax
- (888) 920-3282
- NPI assigned
- Nov 20, 2013
- Last updated
- Jun 1, 2022
- Sex
- Female
- 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 | 0125076 | VT | Primary |
Addresses
Primary practice location
2335 Peak Rd
Lyndonville, VT 05851-9546
Mailing address
2335 Peak Rd
Lyndonville, VT 05851-9546
Phone (802) 233-5497
Other practice location 1
34 Deer Hill Rd
Southbury, CT 06488-1124
Phone (203) 233-5497
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 |
|---|---|---|---|
| 0125076 | VT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illumine Collaborative, LLC | Behavior Analyst | Current | Accepting new patients |
| SD Associates, LLC | Behavior Analyst | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Lyndonville, VT
- NPI 1972261857
-
- Behavior Analyst
- Williston, VT
- NPI 1275855975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1578993010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2335 PEAK RD",
"city": "LYNDONVILLE",
"state": "VT",
"postal_code": "058519546",
"telephone_number": "802-233-5497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 PEAK RD",
"city": "LYNDONVILLE",
"state": "VT",
"postal_code": "058519546",
"telephone_number": "203-233-5497",
"fax_number": "888-920-3282"
}
],
"practiceLocations": [
{
"address_1": "34 Deer Hill Rd",
"address_purpose": "LOCATION",
"city": "Southbury",
"state": "CT",
"postal_code": "064881124",
"country_code": "US",
"telephone_number": "203-233-5497",
"fax_number": "888-920-3282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TURNBAUGH",
"first_name": "TENISA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-20",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VT",
"license": "0125076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lyndonville, VT
- Mitchell Sullivan, MD
- The Kingdom Kares Pines Ops LLC (Pines Rehabilitation and Health Center)
- Kelly H Therrien, PT
- Tim Hash, MSW
- Alfred J Tomaselli, M.A., D.PHIL.
- Vermont State Colleges (Lyndon State College)
- Walgreen Co (Walgreens #17625)
- Bobbi J Warner Somers, MS, LADC, LCMHC
- Melanie Willis
- Mykala Rae Wiswell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.