Brenda Rose Tebbe-Conley, BCBA

Individual provider Active NPI Behavior Analyst · Dover, NH

NPI 1689416463 · NPPES record last updated Jun 11, 2024

Key facts

NPI
1689416463
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-2043604 (NH)
Practice address
100 Main St Ste 100
Dover, NH 03820-3835
Phone
(603) 812-5521
Fax
(844) 866-8240
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1-2043604NHMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
H.O.P.E. Behavioral Consulting, LLC Behavior Analyst Current
since Jun 16, 2024
Accepting new patients

Locations

100 Main St
Ste 100
Dover, NH 03820
Phone (603) 609-5685

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-2043604 NH Yes

Addresses

Primary practice location

100 Main St Ste 100
Dover, NH 03820-3835

Mailing address

100 Main St Ste 100
Dover, NH 03820-3835
Phone (603) 812-5521

Other providers in Dover, NH

All providers in Dover, NH · Behavior Analyst in New Hampshire

Sources for this page

Verify at the official NPI Registry.