Diana Badeo Libiran

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-69474 Issued in CA

Practice address

6363 S Pecos Rd Ste 206
Las Vegas, NV 89120-6293

Phone

(702) 850-2691

NPI assigned

Jan 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Center for Autism & Behavior Analysis, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1447600143
  NPD (past)

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1255804464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N GREEN VALLEY PKWY APT 1714",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745806",
            "telephone_number": "702-497-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 S PECOS RD STE 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891206293",
            "telephone_number": "702-850-2691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13950 Milton Ave",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926832900",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBIRAN",
        "first_name": "DIANA",
        "middle_name": "BADEO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CA",
            "license": "RBT-18-69474",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-18-69474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Creek Hospice, LLC
• Liberty Dental Plan of Nevada, Inc.
• Liberty Dental Plan of Nevada, Inc.
• Liberty Healthcare Pharmacy of Nevada LLC
• Liberty Wellness Outpatient Counseling
• William Adam Libling, DO, MS
• Gianna Nicole Libonati
• Jerrod Paul Libonati, RD
• Sheila Evelyn Liborio
• Adrian Licano

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.