Active NPI
Kaitlyn Diller, MA, BCBA
- Behavior Analyst
- Indianapolis, IN
National Provider Identifier
1538601901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-33248
- Practice address
- 4740 Kingsway Dr
Indianapolis, IN 46205-1521 - Phone
- (317) 466-1000
- Fax
- (317) 466-2000
- NPI assigned
- Nov 16, 2016
- Last updated
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 1-18-33248 | IN | Primary |
Addresses
Primary practice location
4740 Kingsway Dr
Indianapolis, IN 46205-1521
Mailing address
4740 Kingsway Dr
Indianapolis, IN 46205-1521
Phone (317) 466-1000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kdiller@eastersealscrossroads.org | Direct |
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Rehabilitation Center, Inc. | Behavior Analyst | 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.
-
dba Easter Seals Crossroads
- Rehabilitation Practitioner
- Indianapolis, IN
- NPI 1457359838
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1538601901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 KINGSWAY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462051521",
"telephone_number": "317-466-1000",
"fax_number": "317-466-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 KINGSWAY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462051521",
"telephone_number": "317-466-1000",
"fax_number": "317-466-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLER",
"first_name": "KAITLYN",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-16",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-18-33248",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kdiller@eastersealscrossroads.org",
"affiliation": "N",
"endpointDescription": "e-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "e-mail",
"address_1": "4740 Kingsway Dr",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462051521",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.