Individual provider Active NPI

Kay Dibuo

  • Behavior Analyst
  • Milton, DE
National Provider Identifier
1114499498
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA766 Issued in MD
Practice address
26633 Zion Church Rd
Milton, DE 19968-2964
Phone
(302) 212-7091
Fax
(302) 212-7091
NPI assigned
Dec 26, 2018
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-40627 DE
Behavior Analyst 103K00000X LBA766 MD Primary

Addresses

Primary practice location

26633 Zion Church Rd
Milton, DE 19968-2964

Mailing address

17051 Redden Rd
Georgetown, DE 19947-3339
Phone (302) 212-7091

Other practice location 1

617 Franklin Ave Unit 12
Berlin, MD 21811-1358
Phone (302) 212-7091

Other identifiers 2

IdentifierTypeStateIssuer
004445541MedicaidDE
483106300MedicaidMD

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

LicenseStateTypeSpecialty
LBA766MDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Front Counseling Behavior Analyst CurrentSince Nov 8, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1114499498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17051 REDDEN RD",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199473339",
            "telephone_number": "302-212-7091",
            "fax_number": "302-212-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26633 ZION CHURCH RD",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199682964",
            "telephone_number": "302-212-7091",
            "fax_number": "302-212-7091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 Franklin Ave Unit 12",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218111358",
            "country_code": "US",
            "telephone_number": "302-212-7091",
            "fax_number": "302-212-7091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBUO",
        "first_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "DE",
            "license": "1-20-40627",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004445541",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483106300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.