Individual provider Active NPI

Dianna Lee, BCBA

  • Behavior Analyst
  • Honolulu, HI
National Provider Identifier
1538580519
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-97 Issued in HI
Practice address
420 Waiakamilo Rd Ste 202
Honolulu, HI 96817-4950
Phone
(808) 845-0102
Fax
(808) 442-4582
NPI assigned
Dec 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-97 HI Primary

Addresses

Primary practice location

420 Waiakamilo Rd Ste 202
Honolulu, HI 96817-4950

Mailing address

420 Waiakamilo Rd Ste 202
Honolulu, HI 96817-4950
Phone (808) 845-0102

Other practice location 1

1917 Colburn St
Honolulu, HI 96819-3248
Phone (808) 845-0102

Other names 1

  • Dianna Atay Former name

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
BA-97HIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Intervention Management Incorporated CurrentSince Jul 27, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1538580519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WAIAKAMILO RD STE 202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174950",
            "telephone_number": "808-845-0102",
            "fax_number": "808-442-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WAIAKAMILO RD STE 202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174950",
            "telephone_number": "808-845-0102",
            "fax_number": "808-442-4582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1917 Colburn St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968193248",
            "country_code": "US",
            "telephone_number": "808-845-0102",
            "fax_number": "808-442-4582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DIANNA",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-97",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNA",
            "last_name": "ATAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.