Diana Olivia Arellano
Individual provider Active NPI Behavior Analyst · Johnston, IA
NPI 1104484286 · NPPES record last updated Dec 30, 2021
Key facts
- NPI
- 1104484286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 8835 Northpark CT
Johnston, IA 50131-3018 - Phone
- (847) 306-9843
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
8835 Northpark CT
Johnston, IA 50131-3018
Mailing address
8835 Northpark CT
Johnston, IA 50131-3018
Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.