Lindsay Michele Dibella

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

19 President LN
Palm Coast, FL 32164-7428

Phone

(386) 503-0443

NPI assigned

Feb 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1184162232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PRESIDENT LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647428",
            "telephone_number": "386-503-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PRESIDENT LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647428",
            "telephone_number": "386-503-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBELLA",
        "first_name": "LINDSAY",
        "middle_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Lynn Devors, LCSW
• Nilesh Prakash Dialani, MD
• Dialysis Care Center of Palm Coast LLC
• Renata Dias de Oliveira, DDS
• Emma L Diaz
• Megan Katherine Dickerson, DPT
• Amanda S Dietz, MS-CCC, SLP
• Brittney Lynn Diformato
• Stephanie Marcia Petra Diformato, COTA/L
• Christi Lea Dillard, COTA

• Behavior Analyst in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.