Active NPI
Tennelle Lynn Dienes, BSL
- Behavior Analyst
- Du Bois, PA
National Provider Identifier
1760906903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH001973
- Practice address
- 493 S Highland St
Du Bois, PA 15801-7547 - Phone
- (814) 371-3580
- Fax
- (814) 371-8363
- NPI assigned
- Jul 31, 2017
- Last updated
- Jul 21, 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 | BH001973 | PA | Primary |
Addresses
Primary practice location
493 S Highland St
Du Bois, PA 15801-7547
Mailing address
493 S Highland St
Du Bois, PA 15801-7547
Phone (814) 371-3580
Other practice location 1
4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637
Phone (717) 392-6490
Other practice location 2
180 Regent Ct Ste 50
State College, PA 16801-7991
Phone (814) 325-2131
Other practice location 3
550 Leonard St
Clearfield, PA 16830-3203
Phone (814) 762-9585
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
- Credentials
- Bachelor of Science - Law
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH001973 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760906903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "493 S HIGHLAND ST",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158017547",
"telephone_number": "814-371-3580",
"fax_number": "814-371-8363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "493 S HIGHLAND ST",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158017547",
"telephone_number": "814-371-3580",
"fax_number": "814-371-8363"
}
],
"practiceLocations": [
{
"address_1": "4880 N Sherman Street Ext",
"address_purpose": "LOCATION",
"city": "Mount Wolf",
"state": "PA",
"postal_code": "173479637",
"country_code": "US",
"telephone_number": "717-392-6490",
"fax_number": "717-392-9044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180 Regent Ct Ste 50",
"address_purpose": "LOCATION",
"city": "State College",
"state": "PA",
"postal_code": "168017991",
"country_code": "US",
"telephone_number": "814-325-2131",
"fax_number": "814-308-8759",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 Leonard St",
"address_purpose": "LOCATION",
"city": "Clearfield",
"state": "PA",
"postal_code": "168303203",
"country_code": "US",
"telephone_number": "814-762-9585",
"fax_number": "814-762-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIENES",
"first_name": "TENNELLE",
"middle_name": "LYNN",
"credential": "BSL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH001973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.