Active NPI
Ryan Dianna Dyberg
- Behavior Technician
- Palm Desert, CA
National Provider Identifier
1497501670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 73271 Fred Waring Dr
Palm Desert, CA 92260-2883 - Phone
- (760) 469-9650
- NPI assigned
- Apr 27, 2024
- 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 | Primary |
Addresses
Primary practice location
73271 Fred Waring Dr
Palm Desert, CA 92260-2883
Mailing address
73124 Catalina Way
Palm Desert, CA 92260-2827
Phone (310) 780-9074
Other practice location 1
73124 Catalina Way
Palm Desert, CA 92260-2827
Phone (310) 780-9074
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1497501670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73124 CATALINA WAY",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602827",
"telephone_number": "310-780-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73271 FRED WARING DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602883",
"telephone_number": "760-469-9650"
}
],
"practiceLocations": [
{
"address_1": "73124 Catalina Way",
"address_purpose": "LOCATION",
"city": "Palm Desert",
"state": "CA",
"postal_code": "922602827",
"country_code": "US",
"telephone_number": "310-780-9074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYBERG",
"first_name": "RYAN",
"middle_name": "DIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-27",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.