Kelly Marie Didier

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-233278 Issued in FL

Practice address

900 27TH Ave
Vero Beach, FL 32960-4011

Phone

(772) 569-5699

Fax

(305) 290-3081

NPI assigned

Oct 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• CMM ABA, LLC

  • Behavior Analyst
  • Vero Beach, FL
  • NPI 1134654130

  Single Specialty

  NPD
• CMM ABA, LLC

  • Behavior Analyst
  • Vero Beach, FL
  • NPI 1891378360

  Behavior Technician

  NPD

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1497471841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 TURTLE COVE LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632318",
            "telephone_number": "864-915-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 27TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604011",
            "telephone_number": "772-569-5699",
            "fax_number": "305-290-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDIER",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-233278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.potpba.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "900 27th Ave",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329604011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane Kingsley, LLC
• Diasporiques ABA Solutions, LLC
• Giuliana Diaz Jones, D.D.S
• Liz Diaz
• J Kevin Dickinson, D.C.
• Cheryl Diedolf, COTA
• Dietitians Delivered PLLC
• Yeneir Urquiza Diggle, D.M.D.
• Carl P Dilella, D.O.
• Kristina Dimicco, RPH

• Behavior Technician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.