Tia Lynne Dew

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

311 Blossom Rock LN
Folsom, CA 95630-8744

Phone

(916) 879-7852

NPI assigned

Mar 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1972202679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BLOSSOM ROCK LN",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308744",
            "telephone_number": "916-879-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BLOSSOM ROCK LN",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308744",
            "telephone_number": "916-879-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEW",
        "first_name": "TIA",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaishali Desai, M.D.
• Taylor K Desilva
• Destiny Health Clinic LLC
• Annika Elizabeth Dethlefs, FNP-BC
• Dennis Alan Devine, PH.D.
• Vandana Dhanda, FNP
• Amandeep Singh Dhillon, M.D.
• Harpreet S Dhillon, MD
• Natasha Nichole Dickerson
• Michele Dickey, LCSW

• Behavior Technician in Folsom, CA
• Providers in Folsom, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.