Jennifer L Deien, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-09-5653

Practice address

1413 Tech Blvd Ste 122
Tampa, FL 33619-7822

Phone

(855) 832-6727

NPI assigned

Mar 2, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer L Bechtold Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1669795829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N REO ST",
            "address_2": "SUITE 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091061",
            "telephone_number": "813-374-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 TECH BLVD STE 122",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197822",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6507 Gunn Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336254021",
            "country_code": "US",
            "telephone_number": "813-374-2070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEIEN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-09-5653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BECHTOLD",
            "middle_name": "L",
            "credential": "M.S., BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolyn Degon, APRN
• Renae Lea Degrella, PA-C
• Gina Deguzman
• Paula Dehlinger, PTA
• Anelys Marie Deida Acevedo
• Brian J Deignan, MD
• Waldetrudis Dejesus-Achecar, BS
• Gisella Dejesus
• Priscilla Mariah Dejesus
• Stania Ayanna Dejesus, D.O

• Behavior Analyst in Tampa, FL
• Providers in Tampa, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.