Active NPI
Dakiyah Leann Gamble
- Behavior Technician
- Beech Grove, IN
National Provider Identifier
1417814294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 9370990425
- Practice address
- 129 S 2ND Ave
Beech Grove, IN 46107-1904 - Phone
- (765) 696-9967
- NPI assigned
- Jan 5, 2026
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 9370990425 | IN | Primary |
Addresses
Primary practice location
129 S 2ND Ave
Beech Grove, IN 46107-1904
Mailing address
129 S 2ND Ave
Beech Grove, IN 46107-1904
Phone (765) 696-9967
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9370990425 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1417814294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 S 2ND AVE",
"city": "BEECH GROVE",
"state": "IN",
"postal_code": "461071904",
"telephone_number": "765-696-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 S 2ND AVE",
"city": "BEECH GROVE",
"state": "IN",
"postal_code": "461071904",
"telephone_number": "765-696-9967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "DAKIYAH",
"middle_name": "LEANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-05",
"last_updated": "2026-09-29",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "9370990425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beech Grove, IN
- Maureen Fitzpatrick, MD
- Franciscan Health Indianapolis & Mooresville (Franciscan Home Care)
- Franciscan St. Francis Health
- Franciscan St. Francis Health (Franciscan St. Francis Health - Beech Grove)
- Franciscan VNS Home Care, Inc.
- Alan Richard Gillespie, M.D.
- Anna Marie Goss, SLP
- Green Medcare LLC
- Greengate Neurobehavioral Health Inc
- Theresa Greenlee, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.