Active NPI
Sydney Dishner
- Behavior Technician
- Bentonville, AR
National Provider Identifier
1982237632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 17-43284
- Practice address
- 2601 N Walton Blvd
Bentonville, AR 72712-4302 - Phone
- (479) 802-4798
- Fax
- (479) 668-0589
- NPI assigned
- Feb 20, 2020
- 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 Technician | 106S00000X | 17-43284 | AR | Primary |
Addresses
Primary practice location
2601 N Walton Blvd
Bentonville, AR 72712-4302
Mailing address
2601 N Walton Blvd
Bentonville, AR 72712-4302
Phone (479) 802-4798
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-43284 | AR | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1982237632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 N WALTON BLVD",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124302",
"telephone_number": "479-802-4798",
"fax_number": "479-668-0589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 N WALTON BLVD",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124302",
"telephone_number": "479-802-4798",
"fax_number": "479-668-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISHNER",
"first_name": "SYDNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AR",
"license": "17-43284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.