Active NPI
Dana Lindemann, PH.D., BCBA
- Behavior Analyst
- Moline, IL
National Provider Identifier
1962774687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 103KOOOOOX
- Practice address
- 2430 6TH Ave
Moline, IL 61265-1539 - Phone
- (309) 764-5555
- NPI assigned
- Jan 27, 2012
- 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 | 103KOOOOOX | IL | Primary |
Addresses
Primary practice location
2430 6TH Ave
Moline, IL 61265-1539
Mailing address
1022 Willow Rd
Macomb, IL 61455-3526
Phone (360) 255-9288
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103KOOOOOX | IL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1962774687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 WILLOW RD",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553526",
"telephone_number": "360-255-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 6TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612651539",
"telephone_number": "309-764-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDEMANN",
"first_name": "DANA",
"name_prefix": "Dr.",
"credential": "PH.D., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-27",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "103KOOOOOX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.