Individual provider Active NPI

Diana Lynn Draghi, RBT, BCBA

  • Behavior Analyst
  • Kennesaw, GA
National Provider Identifier
1225676638
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-49982
Practice address
1275 Shiloh Rd NW Ste 2020
Kennesaw, GA 30144-7199
Phone
(470) 836-0699
Fax
(470) 922-5246
NPI assigned
Dec 16, 2019
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-49982 Primary
Behavior Technician 106S00000X RBT-19-108304 NV
Behavior Technician 106S00000X

Addresses

Primary practice location

1275 Shiloh Rd NW Ste 2020
Kennesaw, GA 30144-7199

Mailing address

1275 Shiloh Rd NW Ste 2020
Kennesaw, GA 30144-7199
Phone (470) 836-0699

Other practice location 1

5755 S Rainbow Blvd
Las Vegas, NV 89118-2534
Phone (231) 233-7120

Other practice location 2

408 S Jones Blvd
Las Vegas, NV 89107-2658
Phone (702) 502-8021

Other practice location 3

8755 Traveling Breeze Ave Unit 101
Las Vegas, NV 89178-7718
Phone (231) 233-7120

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
RBT-19-108304NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Uniquely U Autism Center LLC Behavior Analyst CurrentSince Feb 26, 2023 Accepting new patients

Locations

1275 Shiloh Rd NW
Ste 2020
Kennesaw, GA 30144
Phone (470) 388-8632

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1225676638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 SHILOH RD NW STE 2020",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447199",
            "telephone_number": "470-836-0699",
            "fax_number": "470-922-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SHILOH RD NW STE 2020",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447199",
            "telephone_number": "470-836-0699",
            "fax_number": "470-922-5246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5755 S Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891182534",
            "country_code": "US",
            "telephone_number": "231-233-7120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 S Jones Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891072658",
            "country_code": "US",
            "telephone_number": "702-502-8021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8755 Traveling Breeze Ave Unit 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891787718",
            "country_code": "US",
            "telephone_number": "231-233-7120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAGHI",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "RBT, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-49982",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-19-108304",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.