Diana Mary La Santa

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-61588 Issued in FL

Practice address

4907 NW 43Rd St Ste C
Gainesville, FL 32606-2007

Phone

(352) 372-0047

NPI assigned

Sep 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 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.

• Divergent Learners Therapy LLC

  • Behavior Analyst
  • Lake Worth, FL
  • NPI 1760320568
  NPD Authorized official
• Acg Therapy Center, Inc

  • Behavior Analyst
  • Gainesville, FL
  • NPI 1588651921
  NPD

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1629684246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 NW 12TH TER APT 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 NW 43RD ST STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326062007",
            "telephone_number": "352-372-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA SANTA",
        "first_name": "DIANA",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-135121",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-61588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108148700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Kwiatkowski, DO
• Violet Kyong
• La Lakers
• La Lakers
• La Lakers
• Jorelle Laakso, M.S.
• Karen Lynne Laauwe, MD
• Ahmed Lababidi, MD
• Donna Labarge, PHD
• Margarita Labarta, PHD

• Behavior Analyst in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.