Individual
TENNELLE LYNN DIENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSL
Contact information
Practice address
493 S HIGHLAND ST, DU BOIS, PA 15801-7547
(814) 371-3580
(814) 371-8363
Mailing address
493 S HIGHLAND ST, DU BOIS, PA 15801-7547
(814) 371-3580
(814) 371-8363
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001973
PA
Other
Enumeration date
07/31/2017
Last updated
07/21/2022
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