Individual provider Active NPI

Diana Reagin, BCBA

  • Behavior Analyst
  • Savannah, GA
National Provider Identifier
1124638150
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1481 Dean Forest Rd BLDG 100
Savannah, GA 31405-9342
Phone
(912) 434-4343
Fax
(912) 452-9600
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 18-64436
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1481 Dean Forest Rd BLDG 100
Savannah, GA 31405-9342

Mailing address

1 Diamond Causeway
Suite 21 - 121
Savannah, GA 31406-9515
Phone (912) 434-4343

Other identifiers 2

IdentifierTypeStateIssuer
1-23-65473OtherBACB CREDENTIALING BOARD
18-64436OtherRBT CERTIFICATION - RELIAS LEARNING

Other names 1

  • Diana Loera Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Savannah Health Information Exchange (HIE)
Other URL CentralReach Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1124638150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND CAUSEWAY",
            "address_2": "SUITE 21 - 121",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314069515",
            "telephone_number": "912-434-4343",
            "fax_number": "912-452-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 DEAN FOREST RD BLDG 100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314059342",
            "telephone_number": "912-434-4343",
            "fax_number": "912-452-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGIN",
        "first_name": "DIANA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "18-64436",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB CREDENTIALING BOARD",
            "identifier": "1-23-65473",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT CERTIFICATION - RELIAS LEARNING",
            "identifier": "18-64436",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Savannah",
            "affiliation": "N",
            "endpointDescription": "CentralReach patient management software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Diamond Causeway",
            "address_2": "Suite 21 - 121",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314069515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CentralReach",
            "affiliation": "N",
            "endpointDescription": "Patient management software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1481 Dean Forest Rd Bldg 100",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314059342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "LOERA",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.