Diana Diduck, M.S., BCBA, LPC-I

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

8100 Lomo Alto Dr
Suite 100
Dallas, TX 75225-6530

Phone

(214) 351-0053

NPI assigned

Aug 30, 2016

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

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.

• Diana Lynn Diduck, PLLC

  • Behavior Analyst
  • Dallas, TX
  • NPI 1477001790
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1336695246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 ELSBY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093113",
            "telephone_number": "214-728-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 LOMO ALTO DR",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256530",
            "telephone_number": "214-351-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDUCK",
        "first_name": "DIANA",
        "credential": "M.S., BCBA, LPC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74979",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara C Dickson, DPT
• Delaney Dicristofaro
• Marie Didario, D.O.
• Nyaz Didehbani, PH.D.
• Nicole Didonna
• Emily Lenae Dieckmeyer, PA-C
• Andrew D Diederich, MD
• Nikki Ian Diego, PTA
• Nancy Ann Diehl, ACNP-C
• Tabitha Diehl, MD

• Behavior Analyst in Dallas, TX
• Providers in Dallas, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.