Individual provider Active NPI

Bethanie Don Telen

  • Speech-Language Pathologist
  • Fresno, CA
National Provider Identifier
1659032704
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
20121 Issued in CA
Practice address
1752 E Bullard Ave Ste 101
Fresno, CA 93710-5864
Phone
(559) 970-8277
NPI assigned
Dec 30, 2021
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 20121 CA Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

1752 E Bullard Ave Ste 101
Fresno, CA 93710-5864

Mailing address

2735 Roberts Ave
Clovis, CA 93611-8546
Phone (559) 905-0716

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

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1659032704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 ROBERTS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936118546",
            "telephone_number": "559-905-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 E BULLARD AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105864",
            "telephone_number": "559-970-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELEN",
        "first_name": "BETHANIE",
        "middle_name": "DON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "20121",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.