Individual provider Active NPI

Diana Bruno, BCBA

  • Behavior Analyst
  • Frederick, MD
National Provider Identifier
1386176949
Registry record updated Nov 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA1425 Issued in MD
Practice address
706 W Patrick St
Frederick, MD 21701-4030
Phone
(301) 882-7932
NPI assigned
Mar 31, 2017
Last updated
Nov 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA1425 MD Primary
Assistant Behavior Analyst 106E00000X 0134000181 VA

Addresses

Primary practice location

706 W Patrick St
Frederick, MD 21701-4030

Mailing address

69 Smith Ave
Westminster, MD 21157-5744
Phone (908) 839-3952

Other practice location 1

10200 Ni River Dr
Spotsylvania, VA 22553-3741
Phone (540) 693-0830

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
LBA1425MDMDBehavioral Analyst
0134000181VAMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Behavior Anlaysis Past Accepting new patients

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668902400000",
    "number": "1386176949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SMITH AVE",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575744",
            "telephone_number": "908-839-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014030",
            "telephone_number": "301-882-7932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10200 Ni River Dr",
            "address_purpose": "LOCATION",
            "city": "Spotsylvania",
            "state": "VA",
            "postal_code": "225533741",
            "country_code": "US",
            "telephone_number": "540-693-0830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2022-11-20",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA1425",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "0134000181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.